EP3134006B1 - Dispositifs et systèmes robotiques chirurgicaux d'accès unique - Google Patents

Dispositifs et systèmes robotiques chirurgicaux d'accès unique Download PDF

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Publication number
EP3134006B1
EP3134006B1 EP15782679.3A EP15782679A EP3134006B1 EP 3134006 B1 EP3134006 B1 EP 3134006B1 EP 15782679 A EP15782679 A EP 15782679A EP 3134006 B1 EP3134006 B1 EP 3134006B1
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Prior art keywords
instrument
arm
assembly
camera
freedom
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German (de)
English (en)
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EP3134006A1 (fr
EP3134006A4 (fr
Inventor
Chung Kwong YEUNG
Kai Leung Yung
Jimmy Tsun Ping TO
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Bio Medical Engineering HK Ltd
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Bio Medical Engineering HK Ltd
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    • A—HUMAN NECESSITIES
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    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00131—Accessories for endoscopes
    • A61B1/00133—Drive units for endoscopic tools inserted through or with the endoscope
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    • A61B1/00147—Holding or positioning arrangements
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    • A61B1/00149—Holding or positioning arrangements using articulated arms
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    • A61B1/00147—Holding or positioning arrangements
    • A61B1/0016—Holding or positioning arrangements using motor drive units
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    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
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    • A61B1/04—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances
    • A61B1/05—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor combined with photographic or television appliances characterised by the image sensor, e.g. camera, being in the distal end portion
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    • A61B1/313—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for introducing through surgical openings, e.g. laparoscopes
    • A61B1/3132—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for introducing through surgical openings, e.g. laparoscopes for laparoscopy
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    • A61B2017/00238—Type of minimally invasive operation
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    • A61B2017/3454—Details of tips
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    • A61B90/30—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
    • A61B2090/309—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure using white LEDs
    • A—HUMAN NECESSITIES
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    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B90/361—Image-producing devices, e.g. surgical cameras
    • A61B2090/3612—Image-producing devices, e.g. surgical cameras with images taken automatically
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    • A61B90/30—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
    • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10S—TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10S901/00—Robots
    • Y10S901/02—Arm motion controller
    • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10S—TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10S901/00—Robots
    • Y10S901/27—Arm part

Definitions

  • the present disclosure relates generally to surgical systems, devices, and methods, and more specifically, relates to systems and devices for use in performing Minimally Invasive Surgical (MIS) procedures, and methods of configuring such surgical systems and devices.
  • MIS Minimally Invasive Surgical
  • US 2013/0131695 describes a robotic arm suited for laparoscopic surgery, having a torsional joint and a flexural joint forming serially arranged joints.
  • the joints provide respective degrees of freedom for the arm, which further receives drive means for such joints.
  • the robotic arm also has transmission means placed between the drive means and the joints.
  • the transmission means have a first and a second assembly of three gear wheels, preferably conical gear wheels, and a train of three additional gear wheels, preferably straight-cut gear wheels, which couple the first and second assembly to form a differential mechanism.
  • US 2013/0317521 also describes a device for use in abdominal surgery.
  • MIS Integrated medical surgical
  • a typical MIS procedure requires multiple incisions to a patient in order to allow access via the incisions for the insertion of a camera and various other laparoscopic instruments into the body cavity of the patient.
  • surgical robotic devices including surgical robotic arms, oftentimes encounter difficulties during surgical procedures due to insufficient anchoring and/or reactive forces to stabilize against forces that are desired and/or necessary to be applied during surgical actions.
  • surgical robotic systems face difficulties in providing an instrument, such as a cutting or gripping instrument attached to the end of a surgical robotic arm, with access to all or even most parts, areas, and/or quadrants of abdominal cavity of a patient. That is, after the surgical robotic arm is inserted in the abdominal cavity of the patient and ready to perform a surgical action, the instrument attached to the end of the surgical robotic arm is typically limited to access only certain parts, areas, and quadrants of the abdominal cavity of the patient.
  • surgical robotic systems typically provide only between one to two surgical robotic arms per access or opening (such as an incision or a natural orifice) of the patient.
  • one or more additional incisions will be required for the insertion of a camera and various laparoscopic instruments into the abdominal cavity of the patient.
  • Present example embodiments relate generally to devices for addressing one or more problems in surgical robotic systems, devices, and methods, including those described above and herein.
  • the invention provides a surgical robotic device comprising a port assembly, a camera arm assembly, and first and second instrument arm assemblies, as defined in claims 1 to 17.
  • the port assembly comprises an access port and a plurality of anchoring portions.
  • the camera arm assembly comprises at least one camera at a distal end and the camera arm assembly is configurable to insert into the access port and attach to one of the anchoring portions.
  • the instrument arm assemblies comprise a serial arrangement including a plurality of arm segments, a plurality of joint portions, and at least one end instrument attached to one of the arm segments by an instrument joint portion at a distal end.
  • Each joint portion is configurable to provide an attached arm segment with at least one degree of freedom.
  • the instrument joint portion is configurable to provide the end instrument with at least one degree of freedom.
  • the first instrument arm assembly is configurable to provide at least seven in vivo degrees of freedom.
  • the instrument arm assembly is configurable to insert into the access port and attach to one of the anchoring portions.
  • the port assembly comprises an outer body and an inner body.
  • the outer body comprises a first access port, a first end, a second end, and a plurality of anchoring portions.
  • the first end is fixably positionable in at least a portion of an opening of a patient in one of a plurality of positions.
  • the second end is operable to attach to an external anchor.
  • the inner body is fixably positionable in the first access port to form a second access port.
  • the port assembly is configurable to provide at least one degree of freedom.
  • the port assembly is configurable to allow an insertion of the instrument arm assembly and the camera arm assembly into the abdominal cavity of a patient via the first access port.
  • the port assembly is configurable to allow an insertion of equipment into the abdominal cavity of the patient via the second access port when the surgical device is in operation.
  • the method comprises providing an external anchor and a port assembly having an outer body member and an inner body member.
  • the method further comprises providing a camera arm assembly, the camera arm assembly having a serial arrangement including a plurality of camera arm segments, a plurality of camera joint portions, and at least one camera attached to one of the camera arm segments.
  • each camera joint portion is configurable to provide an attached camera arm segment with at least one degree of freedom.
  • the method further comprises providing a plurality of instrument arm assemblies, each instrument arm assembly having a serial arrangement including a plurality of arm segments, a plurality of joint portions, and at least one end instrument attached to one of the arm segments at a distal end.
  • each joint portion is configurable to provide an attached arm segment with at least two degrees of freedom.
  • the method further comprises positioning the outer body member in at least a portion of an opening of a patient in one of a plurality of positions using the external anchor.
  • the method further comprises inserting the camera arm assembly into the abdominal cavity of the patient via a first port of the outer body member, and dynamically configuring one or more of the camera joint portions in such a way as to prevent a portion of the camera arm assembly from contacting with the inner wall of the abdominal cavity of the patient and to provide a clear passageway into the abdominal cavity of the patient via the first port.
  • the method further comprises attaching the camera arm assembly to the outer body member.
  • the method further comprises inserting one of the instrument arm assemblies into the abdominal cavity of the patient via the first port of the outer body member, and dynamically configuring one or more of the joint portions in such a way as to prevent a portion of the instrument arm assembly from contacting with the inner wall of the abdominal cavity of the patient and to provide a clear passageway into the abdominal cavity of the patient via the first port.
  • the method further comprises attaching the inserted instrument arm assembly to the outer body member.
  • the method further comprises repeating the inserting and dynamic configuring of the instrument arm assembly for one or more other instrument arm assemblies.
  • the method further comprises securing the inner body member into the first port of the outer body member to form a second port.
  • the method further comprises inserting one or more surgical equipment into the second port.
  • MIS surgical technology and methodology
  • a typical MIS procedure requires multiple incisions or a single incision of up to 35 mm each to a patient in order to allow access for the insertion of a camera and various other laparoscopic instruments into the abdominal cavity of the patient.
  • such rather large and multiple incisions impose several in-surgery and post-surgery disadvantages, undesirable consequences, and/or complications to the patient, including excessive blood loss, large and multiple wound/scar sizes, and longer healing times, thereby necessitating longer hospitalization periods.
  • surgical robotic systems including surgical robotic arms (and those instruments attached to them), developed for performing robotic-assisted MIS surgical procedures also suffer from one or more problems.
  • a major technical challenge for a surgical robotic system is the difficulty in providing sufficient anchoring and/or reactive forces to stabilize against forces that are desired and/or necessary to be applied to the patient by the surgical robotic system during a surgical action.
  • certain surgical actions for known surgical robotic systems may require tremendous effort and time, and may not be performed properly or at all as a result of the problem of insufficient anchoring and/or reactive forces.
  • Another example of a problem recognized in the present disclosure as being encountered by surgical robotic systems is the difficulty in providing an instrument, such as a cutting and/or gripping instrument attached to the end of a surgical robotic arm, with access to all or even most parts, areas, and quadrants of an abdominal cavity of a patient after the surgical robotic system has been set up (or installed) and is ready to perform a surgery. That is, after the surgical robotic arm of the system has been inserted, attached, and properly set up in the abdominal cavity of the patient and is ready to perform a surgical action, the instrument attached to the end of the surgical robotic arm is typically limited to access only certain parts, areas, and quadrants of the abdominal cavity of the patient.
  • surgical robotic systems typically only provide for between one to two surgical robotic arms per access or opening (such as an incision or a natural orifice) of the patient.
  • additional laparoscopic instruments such as another surgical robotic arm, a suction tube, and/or a camera, are required to be inserted into the abdominal cavity of the patient, one or more additional openings (incisions) are required for the patient.
  • surgical robotic arms In respect to surgical robotic arms, surgical teams often encounter difficulties with properly inserting and removing surgical robotic arms into and out of a body cavity of the patient. Specifically, since surgical robotic arms generally have at least one joint and two arm segments, the insertion of a surgical robotic arm into the body cavity oftentimes results in a portion of the surgical robotic arm (such as the end connected to an instrument, such as a cutting tool) coming into contact with and damaging patient tissue. Likewise, the removal of a surgical robotic arm from the body cavity oftentimes results in a portion of the surgical robotic arm coming into contact with and damaging patient tissue. This problem becomes compounded when a surgical procedure or system attempts to employ more than one surgical robotic arm through a single port.
  • surgical robotic systems oftentimes face problems in respect to the heating up of one or more components during a surgical action, such as the heating up of laparoscopic optics (such as a camera), lighting elements, and other components.
  • the increased temperature of such components may possibly impose in-surgery and/or post-surgery damage or complications to patient tissues that come into contact with such components.
  • Another example problem encountered by surgical procedures and systems pertains to the tendency for laparoscopic optics (such as a lens of a camera) and/or lighting elements to encounter contamination and/or partial or complete blockage during a surgical procedure due to fogging, tissue debris, liquids (such as blood), and/or other particles accumulated before, during, and/or after insertion of such components into the body cavity.
  • laparoscopic optics such as a lens of a camera
  • lighting elements to encounter contamination and/or partial or complete blockage during a surgical procedure due to fogging, tissue debris, liquids (such as blood), and/or other particles accumulated before, during, and/or after insertion of such components into the body cavity.
  • visibility within a body cavity via such laparoscopic optics and lighting elements may become reduced, deteriorated, or even completely blocked as a result.
  • Surgical systems, devices, and methods including those for use in robotic MIS, are described in the present disclosure for addressing one or more problems of known surgical systems, devices, and methods, including those described above and in the present disclosure. It is to be understood that the principles described in the present disclosure can be applied outside of the context of MIS and/or laparoscopic surgery, such as performing scientific experiments and/or procedures in environments that are not readily accessible by humans, including in a vacuum, in outer space, and/or under toxic and/or dangerous conditions, without departing from the teachings of the present disclosure.
  • the Surgical System (e.g., surgical device 100)
  • FIGURE 1 An illustration of a surgical device 100 operable to be inserted into an abdominal cavity of a patient through a single access or opening (such as single umbilical incision or a natural orifice, hereinafter referred to as an "opening") of the patient and anchored in or about the same opening is depicted in FIGURE 1 .
  • the surgical device 100 comprises a port assembly 110, an instrument arm assembly 130, and a camera arm assembly 120 (and lacks the second instrument arm assembly required in the claims).
  • the surgical device 100 may be provided with an external anchor 200 attachable to the port assembly 110.
  • the external anchor 200 may comprise a configurable assembly of segments 202, 206, 210, and 214 in communication with one another via joints or connecting portions 204, 208, and 212, and external anchor connector 216.
  • the external anchor 200 may be operable to securely fix the position and/or orientation (hereinafter "position") of the port assembly 110 in or about the single opening of the patient, and may also be operable to provide sufficient anchoring and/or reactive forces to stabilize against forces desired and/or necessary to be applied by at least one or more instruments of the surgical device 100, including the instrument arm assembly 130, during a surgical action or procedure.
  • the external anchor 200 including the controllable swivel assembly 1300 (as illustrated in FIGURE 13 ), may also be operable to cooperate with the port assembly 110 to provide one or more in vitro degrees of freedom.
  • the one or more in vitro degrees of freedom may include a torsional movement, pivotal movement, and/or other movements of the port assembly 110 relative to the external anchor 200.
  • a torsional movement of the port assembly 110 as illustrated by arrow A in Figure 2B , may allow one or more attached instruments, including an instrument arm assembly 130, to re-position during a surgical procedure (i.e. after set up or installation) so as to access other parts, areas, and/or all quadrants of the abdominal cavity of the patient.
  • a pivotal movement of the port assembly 110 may allow the port assembly 110 to be positioned in one of a plurality of angles with respect to opening of the patient, and may also allow attached instruments, including the instrument arm assembly 130, to re-position during a surgical procedure (i.e. after set up or installation) so as to access distal areas of the abdominal cavity of the patient.
  • the other joint portions of the external anchor 200 may also be operable to cooperate and/or assist in desired movements of the port assembly 110.
  • the external anchor 200 may be anchored to one or more stationary objects, such as a side rail 300 of a surgical table/bed illustrated in Figure 2A .
  • Figure 13 illustrates other example movements that provide for additional in vitro degrees of freedom via an example embodiment of the controllable swivel assembly 1300.
  • the controllable swivel assembly 1300 will be further described below in the section "(1) Providing the external anchor and installing the outer body of the port assembly (e.g., actions 901 and 902)."
  • the surgical device 100 of the invention comprises one or more additional instrument arm assemblies, including a second instrument arm assembly 140 illustrated in FIGURES 3A and 3B , attachable to the port assembly 110.
  • One or more of the instrument arm assemblies including a first instrument arm assembly 130, a second instrument arm assembly 140, a third instrument arm assembly (not shown), a fourth instrument arm assembly (not shown), etc., may be attachable to the port assembly 110 and operable to access and perform one or more surgical actions on any and all parts, areas, and/or quadrants within the abdominal cavity of the patient, including a far or distal end of the cavity, as illustrated in Figure 3A , and directly below the opening of the patient, as illustrated in Figure 3B .
  • the surgical device 100 may also comprise one or more additional camera arm assemblies (not shown).
  • the surgical device 100 may further comprise one or more assistant arm assemblies, such as assistant arm assembly 150 illustrated in FIGURE 4 .
  • the surgical device 100 may comprise another laparoscopic instrument 160, such as a suction instrument, as illustrated in FIGURE 5 , that can be inserted into the abdominal cavity of the patient before, during, and/or after performing a surgical action or procedure.
  • the surgical device 100 may be configurable in a plurality of configurations and arrangements, including having more than two instrument arm assemblies (such as third, fourth, fifth, etc. instrument arm assemblies), more than one camera arm assembly (such as second, third, etc. camera arm assemblies), more or less than one assistant arm assembly (such as second, third, etc. assistant arm assemblies), and/or more or less than one laparoscopic tool (such as a second suction tube) in example embodiments without departing from the teachings of the present disclosure.
  • the port assembly (e.g., 110)
  • FIGURES 6A, FIGURE 6B , and FIGURE 6H An illustration of an example embodiment of the port assembly 110 is illustrated in FIGURES 6A, FIGURE 6B , and FIGURE 6H , and an illustration of a port assembly not according to the invention is illustrated in FIGURE 6C , FIGURE 6D , FIGURE 6F , FIGURE 6G , and FIGURE 6I .
  • the port assembly 110 may be configurable to be inserted in or about a single opening of the patient and fixed in position and/or orientation (hereinafter "position") by at least the external anchor 200.
  • the port assembly 110 comprises an outer body 112, an inner body 114 configurable to be inserted into and attached to the outer body 112 (as illustrated in Figure 6A and as further explained below), and one or more anchoring portions 116.
  • the outer body 112 comprises a first access port 112a operable to receive the inner body 114 (as illustrated in Figure 6B ), a first end 112c insertable in or about the opening of the patient, and a second end 112b attachable to the external anchor connector 216 of the external anchor 200.
  • the first end 112c of the outer body 112 may be fixed in position in at least a portion of the opening of the patient and at an angle ⁇ of between about 0 to +/- 90 degrees, as illustrated in FIGURE 6E .
  • the port assembly 110 may further comprise an air shutter 114a', as illustrated in Figures 6H and 6I .
  • the air shutter 114a' may be any mechanism transitionable between an opened position (which allows access into and out of the second access port 114a (and/or first access port 112a)) and a closed position.
  • the air shutter 114a' may also be transitionable to a partially opened (and/or closed) position in example embodiments.
  • the air shutter 114a' may comprise four quadrant segments, as illustrated in Figures 6H and 6I , such as in example embodiments when the air shutter 114a' is provided in a circular or elliptical shape.
  • the air shutter 114a' may be provided in other shapes and/or forms, and may comprise other quantities and/or shapes of segments, such as two, three, or more, without departing from the teachings of the present disclosure. It is recognized in the present disclosure that, when an abdominal cavity of a patient is insufflated with gases so as to allow a surgical procedure to be performed, the air shutter 114a' in the closed position may be operable to substantially control or minimize such gases (i.e., seal) from exiting the second access port 114a (and/or the first access port 112a) so as to substantially maintain the insufflation provided in the body cavity.
  • an air shutter 114a' may be provided on the outer body 112, the inner body 114, or the outer body 112 and the inner body 114.
  • the first access port 112a may be operable to provide an access port (i.e. a passageway) to allow an insertion of one or more instruments, such as one or more instrument arm assemblies, one or more camera arm assemblies, and/or one or more assistant arm assemblies.
  • an access port i.e. a passageway
  • the first access port 112a may be operable to allow one or more instruments to be inserted and passed through the outer body 112 and into the abdominal cavity of the patient.
  • the inserted instruments are attached to the port assembly 110 via one or more of the anchoring portions 116.
  • the anchoring portion of the already inserted instrument may in turn be operable to function as an anchoring portion of the port assembly 110 by enabling an anchoring portion of a subsequent inserted instrument (such as 120a, 130a) to attach (or anchor) to the anchoring portion of the already inserted instrument (such as 120a, 130a).
  • additional arm assemblies such as camera arm assemblies, instrument arm assemblies, and/or assistant arm assemblies to be inserted, as needed, after the number of anchoring portions 116 of the port assembly 110 has been fully occupied.
  • the first access port 112a may be considered as being replaced by second access port 114a of the inner body 114 in example embodiments.
  • the inner body 114 may be operable to assist with, support, and/or ensure the attachment of inserted instrument(s), including one or more instrument arm assemblies, camera arm assemblies, and/or assistant arm assemblies.
  • the inner body 114 may also be operable to isolate or protect one or more attachment or anchoring portions of the inserted instrument(s), such as the instrument anchoring portion 130a of the instrument arm assembly 130 and/or the camera arm anchoring portion 120a of the camera arm assembly 120. Furthermore, the inner body 114 may be operable to provide an access port (i.e. a passageway) via the second access port 114a so as to allow access to the abdominal cavity of the patient, including allowing the insertion of additional instruments such as instrument 160.
  • an access port i.e. a passageway
  • first access port 112a, the second access port 114a, the outer body 112, and/or the inner body 114 may be substantially cylindrical in shape, as illustrated in at least Figures 6A-E .
  • the first access port 112a, the second access port 114a, the outer body 112, and/or the inner body 114 may also be formed in any one of a plurality of other shapes, sizes, and/or dimensions without departing from the teachings of the present disclosure.
  • an outer diameter of the outer body 112 (between first end 112c and second end 112b) may between about 21 to 22 mm, an inner diameter of the outer body 112 may be between about 16.5 to 21 mm, an outer diameter of the inner body 114 may be between about 16 to 18 mm, and an inner diameter of the inner body 114 may be between about 15 to 17 mm.
  • the outer diameter of the outer body 112 (between first end 112c and second end 112b) may be about 22 mm
  • the inner diameter of the outer body 112 may be about 18 to 19 mm
  • the outer diameter of the inner body 114 may be about 17.5 to 18 mm
  • the inner diameter of the inner body 114 may be about 16.5 to 17 mm.
  • the second end 112b may include a flange portion for, among other things, housing one or more of the anchoring portions 116 and attaching an air shutter 114a' (if provided for the outer body 112) in example embodiments, and the flange portion may have a diameter of about 30-34 mm and a height of about 5 to 10 mm.
  • the overall height of the outer body 112 may be about 80-110 mm and the overall height of the inner body 114 may be about 80-140 mm. It is to be understood in the present disclosure that the above dimensions are merely an illustration of example embodiments, and as such the dimensions may be smaller or larger than those recited above without departing from the teachings of the present disclosure.
  • the port assembly 110 including the outer body 112, the inner body 114, the surface forming the first access port 112a, the surface forming the second access port 114a, and/or the anchoring portion 116, may be formed using any one or more of a plurality of materials, such as surgical-grade metals, high-strength aluminum alloys, stainless steel (such as 304/304L, 316/316L, and 420), pure titanium, titanium alloys (such as Ti6A14V, NiTi), and cobalt-chromium alloys.
  • the air shutter 114a' for the inner body 114 and/or outer body 112 may be formed using any one or more of a plurality of materials, such as bio-compatible materials (such as silicone rubber and polyurethane).
  • the port assembly 110 comprises one or more flap sections 116a, or the like.
  • the flaps 116a may provide or assist in providing similar or substantially the same functionality as the anchoring portion 116 described above, including the anchoring functionality of the anchoring portion 116 in example embodiments.
  • the one or more flaps 116a may be operable to provide or assist in providing anchoring (or securing or locking) of one or more arm assemblies, such as a camera arm assembly, instrument arm assembly, and/or assistant arm assembly, to the port assembly 110.
  • the port assembly 110 may comprise other quantities, shapes, and/or forms of flaps without departing from the teachings of the present disclosure.
  • the port assembly 110 may comprise less than or more than four flaps in example embodiments.
  • the one or more flaps 116a of the port assembly 110 may be further operable to transition between an engaged position (which may be a position wherein an arm assembly secured to the flap 116a is ready to perform a surgical procedure, and wherein such position provides a clear passageway of the port assembly 110 for other arm assemblies to be inserted through the port assembly 110 and into the body cavity) and/or a transitionable position (which may be a position wherein an arm assembly secured to the flap 116a is ready to be removed from or inserted into the body cavity and port assembly 110).
  • Views of a flap 116a in an engaged position and a transitionable position are illustrated in Figures 6F and 6G , respectively.
  • Supporting pins 117 may be provided for securing the one or more flaps 116a of the port assembly 110 in the engaged position and/or transitionable position.
  • the flap 116a may further comprise a spring lock 116b, as illustrated in Figure 6F , Figure 6G , Figure 6J, and Figure 6K , which may be in the form of a spring plate, or the like.
  • the spring lock 116b may be operable to secure or lock an arm assembly, such as a camera arm assembly, instrument arm assembly, and/or assistant arm assembly, to the flap 116a when engaged in the locked position.
  • each arm assembly may comprise a corresponding spring lock engaging portion 116b' having a corresponding spring lock receiving portion 116b", or the like, for receiving the spring lock 116b of the flap 116a.
  • the arm assembly is an instrument arm assembly 130
  • the instrument arm assembly 130 (and/or the instrument anchoring portion 130a of the instrument arm assembly 130) may comprise a corresponding spring lock engaging portion 116b' having a spring lock receiving portion 116b".
  • the camera arm assembly 120 and/or the camera anchoring portion 120a of the camera arm assembly 120
  • a spring lock engaging portion 116b' of an arm assembly (an example portion of which is illustrated in Figure 6L ) may be inserted into a corresponding receiving portion of a flap 116a. This is illustrated in Figure 6K , wherein the spring lock 116b has not yet secured or locked the arm assembly to the flap 116a.
  • the arm assembly will be secured or locked to the flap 116a, as illustrated in Figure 6J when the arm assembly is further inserted until the spring lock 116b is received by the spring lock receiving portion 116b" of the arm assembly.
  • An arm assembly secured or locked to the flap 116a in the manner described above may be unsecured or unlocked by unlocking the spring lock 116b from the spring lock receiving portion 116b" of the arm assembly.
  • a supporting pin 117, or the like may be provided to push, displace, or unlock at least a portion of the spring lock 116b in such a way that the spring lock 116b is no longer received by the spring lock receiving portion 116b" of the arm assembly.
  • the camera arm assembly (e.g., 120)
  • the surgical device 100 comprises one or more camera arm assemblies, such as camera arm assembly 120, configurable to attach to the port assembly 110.
  • One or more of the camera arm assemblies may comprise a configurable serial (or linear) arrangement of a plurality of camera arm segments, camera joint portions, and at least one camera integrated into and/or attached to one or more of the camera arm segments and/or camera joint portions.
  • the camera 127 may be a standard and/or high definition 2-dimensional (2D) and/or 3-dimensional (3D) camera operable to capture imaging, such as 2D and/or stereoscopic and/or autostereoscopic 3D imaging, including images, video, and/or audio, and provide in real-time via wired and/or wireless communication the captured imaging, including images, video, and/or audio, to a computing device (or system) of one or more nearby and/or remotely located surgical teams 1204.
  • imaging such as 2D and/or stereoscopic and/or autostereoscopic 3D imaging, including images, video, and/or audio
  • a computing device or system of one or more nearby and/or remotely located surgical teams 1204.
  • the computing device may comprise one or more processors, one or more computer-human interfaces, one or more graphical displays (such as computer screens, television screens, portable devices, wearable devices such as glasses, etc.), and/or other devices and/or systems, an example of which is illustrated in Figure 12 .
  • the one or more nearby and/or remotely located surgical teams 1204 may be operable to view, hear, sense, analyze, and control (such as pan, zoom, process, adapt, mark, change resolution, etc.) the imaging displayed or represented on one or more standard and/or high definition 2D and/or 3D graphical displays 1202, such as shown in the illustration of FIGURE 12 , and/or portable and/or wearable devices adapted to receive 2D and/or 3D imaging (not shown).
  • One or more of the camera arm assemblies may also comprise one or more illumination sources 129, such as an LED, or the like, operable to illuminate or sense at least one or more parts, sections, and/or quadrants of the abdominal cavity of the patient, including instruments provided in the abdominal cavity of the patient.
  • One or more of the camera arm assemblies 120 may further comprise one or more internal temperature control assemblies operable to control (such as reduce) the temperature of one or more components of the camera arm assembly 120.
  • one or more of the camera arm assemblies 120 may comprise a first camera arm segment 121, a second camera arm segment 123, and a third camera arm segment 125.
  • One or more of the camera arm assemblies 120 may also comprise corresponding camera joint portions, such as first camera joint portion 124 and second camera joint portion 126.
  • Each camera joint portion may be configurable, either manually and/or via the computing device (or system), to provide an attached camera arm segment with one or more in vivo degrees of freedom when the camera arm assembly 120 is provided in the abdominal cavity of the patient.
  • the first camera joint portion 124 may be operable to provide the second camera arm segment 123 with a pivotal movement relative to the first camera joint portion 124, as illustrated by arrow A in Figure 8A , and/or a torsional movement relative to the first camera joint portion 124, as illustrated by arrow B in Figure 8A .
  • the second camera joint portion 126 may be operable to provide the third camera arm 125 with a pivotal movement relative to the second camera joint portion 126, as illustrated by arrow C in Figure 8A , and/or a torsional movement relative to the second camera joint portion 126, as illustrated by arrow D in Figure 8A .
  • one or more of the camera arm assemblies 120 may be configurable, either manually and/or via the computing device (or system), to provide multiple in vivo degrees of freedom and, together with the at least one in vitro degree of freedom provided by the port assembly 110, including the controllable swivel assembly 1300 (see Figure 13 ), the one or more of the camera arm assemblies may be configurable to provide multiple degrees of freedom.
  • Each camera joint portion may comprise any one or more configurations of gears and/or gear assemblies, including straight gear configurations, planetary gear configurations, beveled gear configurations, spiral beveled gear configurations, hypoid gear configurations, helical gear configurations, worm gear configurations, and/or any other gear configuration without departing from the teachings of the present disclosure.
  • each camera arm assembly may also comprise one or more internal motors (not shown), or the like, operable to actuate the gears of each camera joint portion and/or the camera arm segments.
  • each of the above mentioned motors, camera joint portions, and/or camera arm segments may be operable to communicate from and/or to the computing device (or system) of one or more nearby and/or remotely located surgical teams 1204 via wired and/or wireless communication in example embodiments.
  • each of the abovementioned motors, camera joint portions, and/or camera arm segments may be operable to receive power from an external power source and/or the computing device (or system) via wired and/or wireless transmissions in example embodiments.
  • One or more internal temperature control assemblies may be provided for each camera arm assembly 120.
  • Each internal temperature control assembly may be operable to control (such as reduce) the temperature and/or heat emission of the aforementioned camera(s) 127, illumination source(s) 129, gears and/or gear assemblies, motors, camera joint portions (such as 124 and 126), and/or camera arm segments (such as 121, 123, and 125).
  • the one or more internal temperature control assemblies may be operable to perform such temperature control using one or more gases, liquids, and/or solids.
  • the gases and/or liquids may be fed, maintained, and/or regulated using an external source via one or more tubes, or the like.
  • the one or more tubes used to provide, regulate, and/or discharge the gases and/or liquids may have a diameter between about 0.5 mm to 3 mm in example embodiments, but the dimensions of such tubes may also be more or less. It is to be understood in the present disclosure that the one or more tubes (if used), as well as any solids (if used), may be provided through an interior of the camera arm assembly 120 without increasing dimensions (such as diameter) of the camera arm assembly 120.
  • example embodiments may also be operable to provide such gases into the body cavity and/or discharge or recycle such gases outside of the body cavity via one or more tubes, or the like.
  • the gases may comprise carbon dioxide, oxygen, and/or other gases in example embodiments.
  • gases may be further operable to assist in providing and/or maintaining insufflation of the abdominal cavity, such as via opening 128 in Figure 8A , during a surgical procedure.
  • example embodiments may be operable to discharge or recycle such liquids outside of the body cavity.
  • such solids may possess properties that enable the surgical team to change the temperature of the solids, such as by applying electricity or other form of energy, so as to control (such as reduce) the temperature and/or heat emission of one or more components of the camera arm assembly 120.
  • the internal temperature control assembly may utilize a combination of gases, liquids, solids, and/or the like without departing from the teachings of the present disclosure.
  • the camera arm assembly 120 may also comprise a camera anchoring portion 120a operable to attach (or secure) the camera arm assembly 120 to one or more anchoring portions 116 (and/or flaps 116a), and this may be provided via the first camera arm segment 121.
  • Figure 8A illustrates an example embodiment of a camera anchoring portion 120a operable to attach to the anchoring portion 116 of the example embodiment of the port assembly in Figure 6A
  • Figure 8B illustrates an example embodiment of a camera anchoring portion 120a operable to attach to the flaps 116a of the example embodiment of the port assembly in Figure 6C .
  • These and other types or configurations of camera anchoring portions 120a and anchoring portions 116 (and/or flaps 116a) may be provided and configured in example embodiments without departing from the teachings of the present disclosure.
  • the camera arm segments including the first camera arm segment 121, the second camera arm segment 123, and/or the third camera arm segment 125, may be substantially cylindrical in shape, as illustrated in at least Figures 8A and 8B .
  • the camera anchoring portion 120a may be attachable to the rest of the camera arm assembly 120, such as via the first camera arm segment 121, via hinge joint 122, or the like, and the camera arm anchoring portion 120a may be of sufficient length and thickness, such as 80 to 130 mm in length and about 1 to 2 mm in thickness, to attach to one or more anchoring portions 116 and/or flaps 116a.
  • the camera anchoring portion 120a may be securely received by the port assembly 110 via anchoring portions 116 and/or flaps 116a.
  • the camera arm assembly 120 may be positionable in such a way that a clear path (via the first access port 112a and/or second access port 114a of the port assembly 110) may be provided to allow the insertion (and removal) of other instruments (see, for example, Figure 10D ). Such positioning may be secured by the use of one or more supporting pins 117, or the like.
  • the supporting pins 117 may be provided in the form of curved plates, as illustrated in Figure 6D and Figure 10D , or other shapes and forms. In example embodiments, such supporting pins 117 may also be operable to provide a separation or isolation of any cables and tubes (not shown) from the opening portion of the first access port 112a and/or second access port 114a of the port assembly 110.
  • the supporting pins 117 may be provided so as to not only secure the position of the camera arm assembly 120 in such a way as to allow insertion (and removal) of other instruments, but to also secure the position of the camera arm assembly 120 so as to allow removal (and insertion) of the camera arm assembly 120 itself.
  • the port assembly 110 may comprise a plurality of receiving sections 117' for support pins 117.
  • One of the receiving portions 117a' may be operable to receive a support pin 117a to securely position one of the flaps 116a of the port assembly 110 (and thus securely position an arm assembly, such as a camera arm assembly, instrument arm assembly, or an assistant arm assembly) in an engaged position, as illustrated in the second illustration of Figure 6F .
  • an arm assembly such as a camera arm assembly, instrument arm assembly, or an assistant arm assembly
  • a support pin 117b may be provided in receiving portion 117b'.
  • Example embodiments of the camera anchoring portion 120a' may comprise at least a restorative portion 120a", or the like, which may be a portion of the camera anchoring portion 120a' that is slightly curved in shape when in its natural shape/position (see, for example, Figure 8C ).
  • the restorative portion 120a" may provide a restoring force, such as a spring-like elastic force, when the restorative portion 120a" of the camera anchoring portion 120a' is deviated from its natural shape/position.
  • the restoring force of the restorative portion 120a" of the camera anchoring portion 120a' may be operable to cause the camera anchoring portion 120a' to return to its natural shape/position, as illustrated in Figure 8C . It is recognized in the present disclosure that such an embodiment of the camera anchoring portion 120a' may enable a safe and effective insertion and/or removal of the camera arm assembly 120 into and/or from the body cavity of a patient.
  • a camera arm assembly 120 securely positioned in an engaged position via supporting pins 117a may be changed to be in a transitionable position by removing the support pins 117a (middle illustration of Figure 8E ), which enables the restoring forces of the restorative portion 120a" of the camera anchoring portion 120a' to return the camera anchoring portion 120a' to its natural shape/position and position the camera arm assembly 120 for removal or insertion (right illustration of Figure 8E ).
  • the length of the first camera arm segment 121 may be between about 5 to 35 mm
  • the length of the second camera arm segment 123 may be between about 50 to 70 mm
  • the length of the third camera arm segment 125 may be between about 16 to 45 mm
  • the overall length of the collective camera arm segments and camera joint portions may be between about 110 to 150 mm.
  • the length of the first camera arm segment 121 may be between about 10 to 20 mm
  • the length of the second camera arm segment 123 may be between about 56 to 60 mm
  • the length of the third camera arm segment 125 may be between about 34 to 40 mm
  • the overall length of the collective camera arm segments and camera joint portions may be between about 120 to 140 mm.
  • a length of one or more of the camera arm segments may also be adjustable by the surgical team 1204 before, during, and/or after insertion of the camera arm assembly into the cavity of the patient.
  • the outer diameter of one or more of the camera arm segments may be about 10 to 16 mm. In an example embodiment, the outer diameter of one or more of the camera arm segments may be about 16 mm. It is to be understood in the present disclosure that the above dimensions are merely an illustration of example embodiments, and as such the dimensions may be smaller or larger than those recited above without departing from the teachings of the present disclosure.
  • the camera arm assembly 120 including the first camera arm segment 121, the second camera arm segment 123, the third camera arm segment 125, the first camera joint portion 124, the second camera joint portion 126, the camera arm anchoring portion 120a, and/or the hinge joint 122, may be formed using any one or more of a plurality of materials, such as surgical-grade metals, high-strength aluminum alloys, stainless steel (such as 304/304L, 316/316L, and 420), pure titanium, titanium alloys (such as Ti6Al4V, NiTi), and cobalt-chromium alloys. It is to be understood in the present disclosure that other materials may also be used without departing from the teachings of the present disclosure. It is to be understood in the present disclosure that the above materials are merely an illustration of example embodiments, and these and other materials and compositions may be used without departing from the teachings of the present disclosure.
  • the camera arm assembly 120 may further comprise a gas shield 127a located nearby a lens of the camera 127.
  • the camera arm assembly 120 may further comprise a gas shield (not shown) located nearby an illumination source 129 and/or any other sensors provided by the camera arm assembly 120.
  • the gas shield 127a may comprise one or more openings or the like, one or more external gas sources (not shown), and one or more tubes, channels, or the like, between the one or more external gas sources and the one or more openings of the gas shield 127a.
  • the gas shield 127a may be operable to provide pressurized gases (and/or liquids), such as carbon dioxide, oxygen, other gases or liquids, or combinations thereof, via the one or more openings of the gas shield 127a to an area in front of the camera 127 (as well as the illumination sources 129 and/or other sensors).
  • the pressurized gases (and/or liquids) may be discharged from the one or more openings of the gas shield 127a at an angle ⁇ 2 , wherein ⁇ 2 is an angle between about 0 and 90 degrees, as illustrated in Figure 8F .
  • the angle ⁇ 2 and/or certain characteristics (such as flow, pressure, temperature, and/or composition) of the discharged pressurized gases (and/or liquids) may be controlled and/or changed on demand, continuously, and/or intermittently.
  • the discharged pressurized gases from two or more example embodiments of the gas shields 127a may be operable to cooperate together (or disturb each other) so as to form a spiral-like gas flow, a radially inward and/or outward gas flow, and/or the like, in front of the camera 127 so as to form an effective gas barrier in front of the camera 127.
  • Figures 8E and 8G depict two openings of the gas shield 127a for each camera 127, it is to be understood in the present disclosure that example embodiments may also comprise a single opening of the gas shield 127a (not shown) or more than two openings of the gas shield (not shown) for each camera 127 without departing from the teachings of the present disclosure.
  • example embodiments of the gas shield 127a may be operable to prevent, minimize, or substantially eliminate an occurrence of contamination and/or partial or complete blockage of the camera 127 (and/or the illumination sources 129 and/or other sensors) during a surgical procedure due to fogging, tissue debris, liquids (such as blood), and/or particle accumulation.
  • example embodiments of the gas shield 127a may be operable to maintain substantial visibility within a body cavity via such cameras 127 (and illumination sources 129 and/or other sensors) and effectively enable surgical teams viewing images, video, and/or other information captured by such cameras 127 (and illumination sources 129 and/or other sensors) to carry on performing surgical procedures without interruption.
  • Each opening of the gas shield 127a may be in any shape and form.
  • the opening may be a circular opening (as shown in Figures 8E-G ), an elliptical opening, a square opening, a rectangular opening, a triangular opening, or other geometrical shapes, and/or combinations thereof.
  • Each opening of the gas shield 127a may have a diameter of about 0.3 mm or less for circular or elliptical openings.
  • the instrument arm assembly (e.g., 130, 140)
  • the surgical device 100 comprises at least two instrument arm assemblies, such as the first instrument arm assembly 130, a second instrument arm assembly 140, a third instrument arm assembly (not shown), a fourth instrument arm assembly (not shown), etc., each configurable to attach to the port assembly 110.
  • the first and second instrument arm assemblies (such as 130, 140) comprise a configurable serial (or linear) arrangement of a plurality of instrument arm segments and joint portions, and at least one end instrument 139, including instruments 139a and 139b, integrated into and/or connected to one or more of the instrument arm segments and/or joint portions.
  • the end instrument 139 may be any instrument suitable for use in MIS procedures, such as a cutting and/or gripping instrument.
  • One or more of the instrument arm assemblies may also comprise one or more illumination sources (not shown), such as an LED, or the like, operable to illuminate one or more parts of the end instrument 139, including instruments 139a and 139b, and/or instrument arm assemblies and/or parts, sections, and/or quadrants of the abdominal cavity of the patient.
  • illumination sources such as an LED, or the like, operable to illuminate one or more parts of the end instrument 139, including instruments 139a and 139b, and/or instrument arm assemblies and/or parts, sections, and/or quadrants of the abdominal cavity of the patient.
  • One or more of the instrument arm assemblies may also comprise a haptic and/or force feedback instrument (not shown) and/or other sensors and/or instruments operable to provide to the computing device of one or more nearby and/or remotely located surgical team 1204 one or more of a plurality of feedback responses and/or measurements, including those pertaining to position (including orientation), applied force, proximity, temperature, pressure, humidity, etc., of, by, and/or nearby to the instrument arm assembly.
  • the instrument arm assembly may also comprise a gas shield, such as the gas shield 127a described above for the camera arm assembly 120.
  • One or more of the instrument arm assemblies may further comprise one or more internal temperature control assemblies operable to control (such as reduce or increase) the temperature of one or more components of the instrument arm assembly.
  • each of the instrument arm assemblies may comprise a first instrument arm segment 131, a second instrument arm segment 133, a third instrument arm segment 135, and a fourth instrument arm segment 137.
  • the instrument arm assembly 130 may also comprise a first joint portion 132, a second joint portion 134, a third joint portion 136, and an instrument joint portion 138.
  • Each of the aforementioned joint portions may be configurable, either manually and/or via the computing device (or system), to provide an attached instrument arm segment (and the end instrument 139, including instruments 139a and 139b) with one or more in vivo degrees of freedom when the instrument arm assembly is provided in the abdominal cavity of the patient.
  • first joint portion 132 may be operable to provide the second instrument arm segment 133 with a pivotal movement relative to the first joint portion 132, as illustrated by arrow A in Figure 1 , and/or a torsional movement relative to the first joint portion 132, as illustrated by arrow B in Figure 1 .
  • second joint portion 134 may be operable to provide the third instrument arm segment 135 with a torsional movement relative to the second joint portion 134, as illustrated by arrow C in Figure 1 , and/or a pivotal movement relative to the second joint portion 134, as illustrated by arrow F in Figure 1 .
  • the third joint portion 136 may be operable to provide the fourth instrument arm segment 137 with a pivotal movement relative to the third joint portion 136, as illustrated by arrow E in Figure 1 , and/or a torsional movement relative to the third joint portion 136, as illustrated by arrow F in Figure 1 .
  • the instrument joint portion 138 may be operable to provide the instrument 139a with one or more pivotal movements relative to the instrument joint portion 138, as illustrated by arrow G in Figure 1 , and/or a torsional movement relative to the instrument joint portion 138 (not shown).
  • the instrument joint portion 138 may be operable to provide the instrument 139b with one or more pivotal movements relative to the instrument joint portion 138, as illustrated by arrow G in Figure 1 , and/or a torsional movement relative to the instrument joint portion 138 (not shown).
  • one or more of the instrument arm assemblies is configurable, either manually and/or via the computing device (or system), to provide seven or more in vivo degrees of freedom and, together with the at least one in vitro degree of freedom provided by the port assembly 110, including the controllable swivel assembly 1300 (see Figure 13 ), the one or more of the instrument arm assemblies may be configurable, either manually and/or via the computing device (or system), to provide a total of eight or more degrees of freedom.
  • the aforementioned at least seven in vivo degrees of freedom for the instrument arm assembly enables at least the full range of natural movements by a surgeon's arm (via a computer-human interface, such as the example illustrated in Figure 12 ) to be substantially directly mapped and/or translated to the instrument arm assembly, which is not achievable in present surgical robotic systems.
  • Each joint portion, including joint portions 132, 134, and 136, and instrument joint portion 138 may comprise any one or more configurations of gears and/or gear assemblies, including straight gear configurations, planetary gear configurations, beveled gear configurations, spiral beveled gear configurations, hypoid gear configurations, helical gear configurations, worm gear configurations, and/or any other gear configuration without departing from the teachings of the present disclosure.
  • each instrument arm assembly may also comprise one or more internal motors (not shown), or the like, operable to actuate the gears of each joint portion, including joint portions 132, 134, and 136, and/or the instrument arm segments 131, 133, 135, and 137.
  • each of the abovementioned motors, joint portions, and/or instrument arm segments may be operable to communicate, such as receive control commands and/or transmit information, from and/or to the computing device (or system) of one or more nearby and/or remotely located surgical teams 1204 via wired and/or wireless communication in example embodiments.
  • each of the abovementioned motors, joint portions, and/or instrument arm segments may be operable to receive power from an external power source and/or the computing device (or system) via wired and/or wireless transmissions in example embodiments.
  • At least the first and second instrument arm assemblies comprise an instrument anchoring portion 130a operable to attach (or secure) the instrument arm assembly to one or more anchoring portions 116 (and/or flaps 116a), and this may be provided via the first instrument arm segment 131.
  • Figure 7A illustrates an example embodiment of an instrument anchoring portion 130a operable to attach to the anchoring portion 116 of the example embodiment of the port assembly 110 in Figure 6A
  • Figure 7B illustrates an example embodiment of an instrument anchoring portion 130a operable to attach to the flaps 116a of the example embodiment of the port assembly 110 in Figure 6C .
  • instrument anchoring portions 130a and anchoring portions 116 may be provided and configured in example embodiments without departing from the teachings of the present disclosure.
  • One or more internal temperature control assemblies may be provided for each of the one or more instrument arm assemblies.
  • Each internal temperature control assembly may be operable to control (such as reduce) the temperature and/or heat emission of the aforementioned gears and/or gear assemblies, motors, instrument joint portions (such as 132, 134, and 136), and/or instrument arm segments (such as 131, 133, 135, and 137).
  • the one or more internal temperature control assemblies may also be operable to control (such as increase or decrease) the temperature of the instrument 139 (which may be desirable when the instrument 139 is a cutting tool, or the like).
  • the one or more internal temperature control assemblies may be operable to perform such temperature control using one or more gases, liquids, and/or solids.
  • the gases and/or liquids may be fed, maintained, and/or regulated using an external source via one or more tubes, or the like.
  • the one or more tubes used to provide, regulate, and/or discharge the gases and/or liquids may have a diameter between about 0.5 mm to 3 mm in example embodiments, but the dimensions of such tubes may also be more or less. It is to be understood in the present disclosure that the one or more tubes (if used), as well any solids (if used), may be provided through an interior of the instrument arm assembly without increasing dimensions (such as diameter) of the instrument arm assembly.
  • example embodiments may also be operable to provide such gases into the body cavity and/or discharge or recycle such gases outside of the body cavity via one or more tubes, or the like.
  • the gases may comprise carbon dioxide, oxygen, and/or other gases in example embodiments.
  • Such gases may be further operable to assist in providing and/or maintaining insufflation of the body cavity, such as via an opening (not shown).
  • example embodiments may be operable to discharge or recycle such liquids outside of the body cavity.
  • such solids may possess properties that enable the surgical team to change the temperature of the solids, such as by applying electricity or other form of energy, so as to control (such as reduce) the temperature and/or heat emission of one or more components of the camera arm assembly 120.
  • the internal temperature control assembly may utilize a combination of gases, liquids, solids, and/or the like without departing from the teachings of the present disclosure.
  • the end instrument 139 may be configurable, either manually and/or via the computing device (or system), to apply between about 0 to 20 N of force when performing surgical actions and procedures, such as clipping and/or grasping actions. Furthermore, the end instrument 139, including each instrument 139a and 139b, may be configurable, either manually and/or via the computing device (or system), to apply between about 0 to 10 N of force when performing other surgical actions and procedures, such as translational, twisting, pulling, and/or pushing actions. It is to be understood in the present disclosure that the above range of applicable force are merely an illustration of example embodiments, and as such the range of applicable force may be smaller or larger than those recited above without departing from the teachings of the present disclosure.
  • the instrument arm segments including the first instrument arm segment 131, the second instrument arm segment 133, the third instrument arm segment 135, and/or the fourth instrument arm segment 137, may be substantially cylindrical in shape, as illustrated in at least Figures 7A and 7B .
  • the instrument anchoring portion 130a may be attachable to the rest of the instrument arm assembly 130, such as via the first instrument arm segment 131, via hinge joint 130b, or the like, and the instrument arm anchoring portion 130a may be of sufficient length and thickness, such as about 80 to 130 mm in length, about 3-15 mm in width, and about 0.2 to 3 mm in thickness, to attach (or connect or anchor) to one or more anchoring portions 116 and/or flaps 116a.
  • the instrument anchoring portion 130a may be securely received by the port assembly 110 via anchoring portions 116 and/or flaps 116a.
  • the instrument arm assembly 130 may be positionable in such a way that a clear path (via the first access port 112a and/or second access port 114a of the port assembly 110) may be provided to allow the insertion (and removal) of other instruments (see, for example, Figure 11E ). Such positioning may be secured by the use of one or more supporting pins 117.
  • the support pins 117 may be provided in the form of curved plates, as illustrated in Figure 6D and Figure 11D , or other shapes and forms. In example embodiments, such supporting pins 117 may also be operable to provide a separation or isolation of any cables and tubes (not shown) from the opening portion of the first access port 112a and/or second access port 114a of the port assembly 110.
  • the supporting pins 117 may be provided so as to not only secure the position of the instrument arm assembly 130 in such a way as to allow insertion (and removal) of other instruments, but to also secure the position of the instrument arm assembly 130 so as to allow removal (and insertion) of the instrument arm assembly 130 itself.
  • the port assembly 110 may comprise a plurality of receiving sections 117' for support pins 117 (see first illustration of Figures 6F and 6G ).
  • One of the receiving portions 117a' may be operable to receive a support pin 117a to securely position one of the flaps 116a of the port assembly 110 (and thus securely position an arm assembly, such as a camera arm assembly, instrument arm assembly, or an assistant arm assembly) in an engaged position, as illustrated in the second illustration of Figure 6F .
  • an arm assembly such as a camera arm assembly, instrument arm assembly, or an assistant arm assembly
  • a support pin 117b may be provided in receiving portion 117b'.
  • Example embodiments of the instrument anchoring portion 130a' may comprise at least a restorative portion 130a", or the like, which may be a portion of the instrument anchoring portion 130a' that is slightly curved in shape when in its natural shape/position (see, for example, Figure 7C ).
  • the restorative portion 130a" may provide a restoring force, such as a spring-like elastic force, when the restorative portion 130a" of the instrument anchoring portion 130a' is deviated from its natural shape/position.
  • the restoring force of the restorative portion 130a" of the instrument anchoring portion 130a' may be operable to cause the instrument anchoring portion 130a' to return to its natural shape/position, as illustrated in Figure 7C . It is recognized in the present disclosure that such an embodiment of the instrument anchoring portion 130a' may enable a safe and effective insertion and/or removal of the instrument arm assembly 130 into and/or from the body cavity of a patient.
  • an instrument arm assembly 130 securely positioned in an engaged position via supporting pins 117a may be changed to be in a transitionable position by removing the support pins 117a (middle illustration of Figure 7E ), which enables the restoring forces of the instrument anchoring portion 130a' to return the instrument anchoring portion 130a' to its natural shape/position and position the instrument arm assembly 130 for removal or insertion (right illustration of Figure 7E ).
  • the length of the first instrument arm segment 131 may be between about 60 to 85 mm
  • the length of the second instrument arm segment 133 may be between about 80 to 105 mm
  • the length of the third instrument arm segment 135 may be between about 65 to 90 mm
  • the length of the fourth instrument arm segment 137 may be between about 5 to 30 mm
  • the overall length of the collective instrument arm (excluding the instrument 139a and 139b) may be between about 210 to 310 mm.
  • the length of the first instrument arm segment 131 may be between about 70 to 80 mm
  • the length of the second instrument arm segment 133 may be between about 90 to 100 mm
  • the length of the third instrument arm segment 135 may be between about 75 to 85 mm
  • the length of the fourth instrument arm segment 137 may be between about 15 to 25 mm
  • the overall length of the collective instrument arm (excluding the end instrument 139 and instrument 139a and 139b) may be between about 250 to 290 mm.
  • a length of one or more of the instrument arm segments and/or the end instrument 139 may also be adjustable by the computing device (or system) of one or more nearby and/or remotely located surgical teams 1204 before, during, and/or after insertion of the instrument arm assembly into the cavity of the patient.
  • the outer diameter of one or more of the instrument arm segments may be about 10 to 16 mm. In an example embodiment, the outer diameter of one or more of the instrument arm segments may be about 16 mm.
  • Each of the instrument arm assemblies including the first instrument arm segment 131, the second instrument arm segment 133, the third instrument arm segment 135, the fourth instrument arm segment 137, the end instrument 139, the first joint portion 132, the second joint portion 134, the third joint portion 136, the instrument joint 138, the instrument arm anchoring portion 130a, and/or the hinge joint 130b, may be formed using any one or more of a plurality of materials, such as surgical-grade metals, high-strength aluminum alloys, stainless steel (such as 304/304L, 316/316L, and 420), pure titanium, titanium alloys (such as Ti6Al4V, NiTi), and cobalt-chromium alloys. It is to be understood in the present disclosure that other materials may also be used without departing from the teachings of the present disclosure.
  • example embodiments of the surgical device 100 may be configurable to perform a surgical action or procedure in one of a plurality of ways.
  • the external anchor 200 may be provided and installed/anchored (e.g., action 901) to the stationary object.
  • the port assembly 110 may be provided, inserted, and installed (e.g., action 902) in or about the opening of the patient using the external anchor 200.
  • the controllable swivel assembly 1300 may also be used.
  • a single incision through the umbilicus and a workable abdominal cavity of about 10-12 cm in height may be provided for the patient.
  • one or more camera arm assemblies e.g., action 904
  • one or more instrument arm assemblies e.g., action 906
  • one or more assistant arm assemblies e.g., action 908
  • a surgical action or procedure may then be performed in any part, area, and/or quadrant of the abdominal cavity of the patient using the surgical device 100.
  • the external anchor 200 may be provided and installed/anchored to one or more stationary objects, such as a side rail 300 of a surgical table/bed, as illustrated in Figures 2A and 2B .
  • One or more segments 202, 206, 210, and 214 of the external anchor 200 may cooperate using one or more joints 204, 208, 212, and 216 of the external anchor 200 to fix the position (including orientation) of the port assembly 110 in or about the opening of the patient.
  • the external anchor 200 may comprise a controllable swivel assembly 1300 operable to provide one or more additional in vitro degrees of freedom, such as via a first swivel portion 1302, second swivel portion 1304, and/or third swivel portion 1306.
  • the controllable swivel assembly 1300 may further comprise a motor 1302a for the first swivel portion 1302, a motor 1304a for the second swivel portion 1304, a motor 1306a for the third swivel portion 1306, one or more supporting arms 1308, and one or more locks 1310.
  • the first swivel portion 1302 may be operable to provide, as one of the in vitro degrees of freedom, a translational movement of the port assembly 110 along an axis defined by the elongated length of the port assembly 110, as illustrated by the arrow A.
  • the translational movement, as illustrated by arrow A, provided by the first swivel portion 1302 may be between about 0 to 50 mm.
  • the controllable swivel assembly 1300 may further comprise a second swivel portion 1304 operable to provide, as another one of the in vitro degrees of freedom, a torsional or rotational movement of the port assembly 110 about an axis depicted by axis Y.
  • the torsional or rotational movement, as illustrated by the arrow B, provided by the second swivel portion 1304 may be between about +/- 180 degrees.
  • the controllable swivel assembly 1300 may further comprise a third swivel portion 1306 operable to provide, as another one of the in vitro degrees of freedom, a pivotal or rotational movement of the port assembly 110 about an axis perpendicular to the Y-axis, such as the axis depicted by axis Z (which comes out of the page).
  • the Z-axis or the center of rotation may be located at about opening of the patient, such as at the mid-point of the abdominal wall.
  • the pivotal or rotational movement, as illustrated by the arrow C, provided by the third swivel portion 1306 may be between about +/- 80 degrees.
  • controllable swivel assembly 1300 may comprise the first swivel portion 1302, second swivel portion 1304, and/or third swivel portion 1306 .
  • the controllable swivel assembly 1300 may further comprise other swivel portions (not shown) when more than three in vitro degrees of freedom and/or movements/rotations other than those providable by the first swivel portion 1302, second swivel portion 1304, and third swivel portion 1306 are desired and/or required.
  • the controllable swivel assembly 1300 including the first swivel portion 1302, the second swivel portion 1304, and/or the third swivel portion 1306, may be controllable either locally or remotely by the surgical team.
  • the first end 112c may be inserted into a single opening of the patient, such as an incision through the umbilicus, and the second end 112b may be attached to the external anchor connector 216 to fix the outer body 112 in position (including orientation) with respect to at least the one or more stationary objects.
  • the outer body 112 of the port assembly 110 may be operable to provide an access port (or passageway) via the first access port 112a for insertion of one or more instruments.
  • one or more of the instrument arm assemblies, camera arm assemblies, and/or assistant arm assemblies may be operable to communicate with the computing device (or system) of one or more nearby and/or remotely located surgical teams 1204, including receive and/or transmit, one or more of control, imaging, feedback, information, and/or power signals using wired and/or wireless communication.
  • one or more external wires i.e. in example embodiments wherein an instrument communicates using wires and the wires are not provided and/or embedded substantially inside the instrument
  • one or more interior portions of the first access port 112a may be provided with one or more channels, grooves, or the like, to allow for the one or more wires to be routed through the port assembly 110.
  • one or more channels, grooves, or the like may also be provided for one or more exterior portions of the inner body 114 in addition to or in replacement of those provided for the one or more interior portions of the first access port 112a in such example embodiments.
  • communications including receiving and transmitting, are provided via wireless communication, such channels, grooves, or the like, may not be required.
  • the camera arm assembly 120 may be inserted into the port assembly 110, such as via the first access port 112a, and into the abdominal cavity of the patient, as illustrated in FIGURES 10A-D .
  • the camera arm assembly 120 may be dynamically configured (that is, configured before, during, and/or after the insertion of the camera arm assembly 120 into the abdominal cavity of the patient), either manually and/or by commanding via the computing device (or system) of one or more nearby and/or remotely located surgical teams 1204, by actuating one or more of the camera joint portions 122, 124, 126 and/or camera arm segments 121, 123, 125 in such a way as to prevent a portion of the camera arm assembly 120 from contacting with an interior wall of the abdominal cavity of the patient.
  • the said configuring before, during, and/or after the insertion may also be performed so as to provide a subsequent clear passageway into the abdominal cavity of the patient, as illustrated in Figure 10D , for one or more subsequent insertions of other instruments, such another camera arm assembly, one or more instrument arm assemblies, and/or one or more assistant arm assemblies.
  • the camera arm assembly 120 may also be anchored to the port assembly 110, as illustrated in Figure 10C , using one or more anchoring portions 116 and optionally flaps 116a.
  • the camera anchoring portion 120a of the camera arm assembly 120 may be operable to anchor or secure to the port assembly 110 via one or more anchoring portions 116 and optionally flaps 116a of the port assembly 110, as described above and herein.
  • the camera arm assembly 120 may be the first instrument installed after the installation of the outer body 112 of the port assembly 110.
  • the camera arm assembly 120 In installing the camera arm assembly 120 first and positioning the camera in the abdominal cavity of the patient in such a way as to provide an operator (such as the surgeon) with an interior cavity view of subsequent insertion(s) of other instrument(s) (including another camera arm assembly, one or more instrument arm assemblies, and/or one or more assistant arm assemblies), it is recognized in the present disclosure that the operator, either manually and/or via the computing device (or system), may be enabled to properly and carefully perform dynamic configuring of the subsequent instruments during and after the insertion of the subsequent instruments into the abdominal cavity of the patient.
  • the operator may avoid and/or prevent such subsequent instruments from contacting with and/or affecting a part of an interior of the abdominal cavity (and/or other arm assemblies) and possibly causing unintentional and undesirable harm, injury, and/or complications to the patient.
  • the instrument arm assembly 120, the assistant arm assembly 150, or other instruments may also be the first instrument installed after the installation of the outer body 112 of the port assembly 110 without departing from the teachings of the present disclosure.
  • An instrument arm assembly 130 may be inserted into the port assembly 110, such as via the first access port 112a, and into the abdominal cavity of the patient, as illustrated in FIGURES 11A-E .
  • the instrument arm assembly 130 may be dynamically configured (that is, configured before, during, and/or after the insertion of the instrument arm assembly 130 into the cavity of the patient), either manually and/or by commanding via the computing device (or system) of one or more nearby and/or remotely located surgical teams 1204, by actuating one or more of the joint portions 130b, 132, 134, 136, 138 and/or instrument arm segments 131, 133, 135, 137 and/or end instrument 139, including instruments 139a and 139b, in such a way as to prevent a portion of the instrument arm assembly 130 from contacting with an interior wall of the abdominal cavity of the patient.
  • the said configuring before, during, and/or after the insertion may also be performed so as to provide a clear passageway into the abdominal cavity of the patient, as illustrated in Figure 11E , for one or more subsequent insertions of other instruments, such one or more camera arm assemblies, one or more additional instrument arm assemblies, and/or one or more assistant arm assemblies.
  • the instrument arm assembly 130 is anchored to the port assembly 110, as illustrated in Figure 11D , using one or more anchoring portions 116 and optionally flaps 116a.
  • the instrument anchoring portion 130a of the instrument arm assembly 130 is operable to anchor or secure to the port assembly 110 via one or more anchoring portions 116 and optionally flaps 116a of the port assembly 110, as described above and herein.
  • One or more additional instrument arm assemblies (such as 140 illustrated in Figures 3A, 3B , 4, and 5 ), one or more assistant arm assemblies (such as 150 illustrated in Figures 3A, 3B , 4, and 5 ), and/or one or more additional camera arm assemblies (not shown) may also be inserted into the port assembly 110, such as via the first access port 112a, and into the cavity of the patient.
  • the one or more instrument arm assemblies, one or more assistant arm assemblies, and/or one or more additional camera arm assemblies may also be dynamically configured, either manually and/or via the computing device (or system), in substantially the same way as described above so as to prevent a portion of the assemblies from contacting with an interior wall of the abdominal cavity of the patient.
  • the said configuring during and/or after the insertion may also be performed so as to provide a clear passageway into the abdominal cavity of the patient for one or more subsequent insertions of other instruments, such one or more camera arm assemblies, one or more additional instrument arm assemblies, and/or one or more assistant arm assemblies.
  • the one or more additional instrument arm assemblies, one or more assistant arm assemblies, and/or one or more camera arm assemblies may also be attached to the port assembly 110 and prevented from blocking or partially blocking a passageway into the abdominal cavity of the patient for the subsequent insertions of other instruments.
  • an anchoring portion of the one or more additional instrument arm assemblies, one or more assistant arm assemblies, and/or one or more camera arm assemblies may be operable to anchor or secure to the port assembly 110 via one or more anchoring portions 116 and/or the flap 116a of the port assembly 110, as described above and herein.
  • the inner body 114 of the port assembly 110 may be inserted into the first access port 112a and attached to one or more of the anchoring portions 116 of the outer body 112 (e.g., see Figures 6A and 6B ). After the installation of the inner body 114, the inner body 114 may be operable to provide a second access port 114a for the surgical device 100.
  • the second access port 114a may be considered as replacing the first access port 112a of the surgical device 100.
  • the second access port 114a is operable to provide an access port having a consistently maintained diameter after the insertion and installation of the one or more camera arm assemblies (such as camera arm assembly 120), the one or more instrument arm assemblies (such as instrument arm assemblies 130 and 140), and/or the one or more assistant arm assemblies (such as assistant arm assembly 150).
  • the consistently maintained diameter may be between about 15 to 17 mm in example embodiments.
  • the inner body 114 may be operable to assist with, support, and/or ensure the attachment of inserted instrument(s), including the one or more instrument arm assemblies, the one or more camera arm assemblies, and/or the one or more assistant arm assemblies.
  • the inner body 114 may also be operable to isolate and/or protect one or more attachment portions of the inserted instrument(s), such as 120a and/or 130a.
  • the inner body 114 may be operable to provide an access port (or passageway) via the second access port 114a so as to allow access to the abdominal cavity of the patient, including allowing the insertion of other instruments, such as instrument 160 (e.g., see Figure 5 ).
  • the second access port 114a may be operable to allow the insertion of a suction instrument 160 so as to allow for the removal of accumulative cavity fluids and/or gases, such as water and/or blood.
  • example embodiments of the surgical device 100 and the methods 900 of configuring the surgical device 100 provided in the present disclosure for performing surgical procedures via a single opening of a patient may provide for several advantages and/or solutions to problems, including, but not limited to, a requirement for only a single opening instead of the multiple incisions required by known MIS procedures using surgical robotic systems; a substantial reduction in the size of the opening (such as an incision) of less than about 24 mm, as compared to present MIS procedures and known surgical robotic systems and procedures requiring between rather large incisions of about 30 to 35 mm; a reduction or improvement pertaining to excessive blood loss, wound sizes, number of wounds, healing times, pain, hospitalization periods as a result of the reduction in the number and sizes of incisions and prevention of instruments from contacting with an interior part of the abdominal cavity of the patient; enabling access all parts, areas, and quadrants of the abdominal cavity of the patient during and after installation and/or set up of the surgical device 100 as compared to the inability for known surgical robotic
  • the surgical device 100 may be re-configurable in one of a plurality of ways.
  • one or more of the installed instruments including the one or more instrument arm assemblies, the one or more camera arm assemblies, and the one or more assistant arm assemblies, may be re-configured, re-positioned, and/or re-oriented, either manually and/or by the computing device (or system), via the plurality of in vivo degrees of freedom configurable by each installed instrument and/or the one or more in vitro degrees of freedom configurable by the external anchor 200 and the outer body 112 of the port assembly 110.
  • the one or more installed instruments may be operable to access other parts, areas, and/or quadrants of the abdominal cavity of the patient without a requirement to re-perform the set up process, as presently required in known surgical robotic systems.
  • the surgical device 100 may also be operable to add (and/or remove) one or more instruments (or installed instruments), such as one or more instrument arm assemblies, one or more camera arm assemblies, and/or one or more assistant arm assemblies, by removing the installed inner body 114 and/or installing (and/or removing) the required (or unrequired) instruments, as described above and herein.
  • the inner body 114 may then be re-installed into the first access port 112a without a requirement to re-perform the set up process, as presently required in surgical robotic systems.
  • assembly For example, “assembly,” “device,” “portion,” “segment,” “member,” “body,” or other similar terms should generally be construed broadly to include one part or more than one part attached or connected together.
  • a computing device, a processor, and/or a system may be a virtual machine, computer, node, instance, host, and/or device in a networked or non-networked computing environment.
  • a networked computing environment may be a collection of devices connected by communication channels that facilitate communications between devices and allow devices to share resources.
  • a computing device may be a device deployed to execute a program operating as a socket listener and may include software instances.
  • Resources may encompass any type of resource for running instances including hardware (such as servers, clients, mainframe computers, networks, network storage, data sources, memory, central processing unit time, scientific instruments, and other computing devices), as well as software, software licenses, available network services, and other non-hardware resources, or a combination thereof.
  • hardware such as servers, clients, mainframe computers, networks, network storage, data sources, memory, central processing unit time, scientific instruments, and other computing devices
  • software software licenses, available network services, and other non-hardware resources, or a combination thereof.
  • a networked computing environment may include, but is not limited to, computing grid systems, distributed computing environments, cloud computing environment, etc.
  • Such networked computing environments include hardware and software infrastructures configured to form a virtual organization comprised of multiple resources that may be in geographically disperse locations.

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Claims (17)

  1. Dispositif chirurgical comprenant :
    un ensemble orifice (110) ayant :
    un corps externe (112) ayant un premier orifice d'accès (112a), une première extrémité (112c), une seconde extrémité (112b), et une pluralité de parties d'ancrage (116), dans lequel la première extrémité peut être positionnée de manière fixe dans au moins une partie d'une ouverture d'un patient dans l'une d'une pluralité de positions, dans lequel la seconde extrémité est conçue pour se fixer à un ancrage externe, dans lequel le premier orifice d'accès du corps externe peut être configuré pour permettre une insertion d'instruments dans une cavité d'un patient,
    dans lequel chacune de la pluralité de parties d'ancrage (116) inclut un orifice d'ancrage (116) au niveau de la seconde extrémité du corps externe (112) ;
    un corps interne (114) pouvant être positionné de manière fixe dans le premier orifice d'accès (112a) du corps externe (112), le corps interne (114) ayant un second orifice d'accès (114a), une première extrémité, une seconde extrémité, et au moins une partie d'ancrage prévue au niveau de la seconde extrémité du corps interne (114), dans lequel lorsque le corps interne (114) est positionné dans le premier orifice d'accès (112a) du corps externe (112) de telle manière que les premières extrémités des corps interne et externe sont adjacentes l'une à l'autre et les secondes extrémités des corps interne et externe sont adjacentes l'une à l'autre, l'au moins une partie d'ancrage du corps interne (114) peut être configurée pour se fixer à au moins l'un des orifices d'ancrage (116) du corps externe (112), dans lequel le premier orifice d'accès (112a) du corps interne peut être configuré pour permettre une insertion d'instruments dans une cavité d'un patient lorsque le dispositif chirurgical fonctionne ;
    une pluralité de canaux internes distincts formés de manière répartie autour d'un extérieur du corps interne (114) lorsque le corps interne (114) est positionné dans le premier orifice d'accès (112a) du corps externe (112), chaque canal interne étant formé par une surface extérieure du corps interne (114) et une surface intérieure du corps externe (112) lorsque le corps interne (114) est positionné dans le premier orifice d'accès (112a) du corps externe (112), chaque canal interne étant aligné avec l'un des orifices d'ancrage (116) du corps externe (112) ;
    un premier ensemble bras d'instrument (130) ayant une pluralité de premières parties de liaison, une pluralité de premiers segments de bras reliés selon un agencement en série via la pluralité de premières parties de liaison, au moins un instrument d'extrémité (139) attaché à une extrémité distale d'un premier segment de bras le plus distal par une première partie de liaison d'instrument, une première partie d'ancrage de bras d'instrument (130a), dans lequel une extrémité distale de la première partie d'ancrage de bras d'instrument (130a) est immobilisée sur une extrémité proximale d'un premier segment de bras le plus proximal (131), dans lequel l'un desdits canaux internes peut être configuré pour loger au moins une partie de la première partie d'ancrage de bras d'instrument (130a), dans lequel une extrémité proximale de la première partie d'ancrage de bras d'instrument (130a) peut être configurée pour s'attacher à l'un des orifices d'ancrage (116) du corps externe (112) ;
    un second ensemble bras d'instrument (140) ayant une ou plusieurs secondes parties de liaison, une pluralité de seconds segments de bras reliés selon un agencement en série via les une ou plusieurs secondes parties de liaison, une seconde partie d'ancrage de bras d'instrument (130a), dans lequel une extrémité distale de la seconde partie d'ancrage de bras d'instrument est fixée à une extrémité proximale d'un second segment de bras le plus proximal,
    et au moins un instrument d'extrémité (139) attaché à l'un des seconds segments de bras par la seconde partie de liaison d'instrument (130a), dans lequel l'un desdits canaux internes peut être configuré pour loger au moins une partie de la seconde partie d'ancrage de bras d'instrument (130a), dans lequel le second ensemble bras d'instrument (140) peut être configuré pour s'attacher à l'un des orifices d'ancrage (116) du corps externe (112) ; et
    un ensemble bras de caméra (120) ayant au moins une caméra (127) au niveau d'une extrémité distale, l'ensemble bras de caméra (120) pouvant être configuré pour s'attacher à l'un des orifices d'ancrage (116) du corps externe (112) ;
    dans lequel l'ensemble orifice (110) peut être configuré pour permettre une insertion du premier ensemble bras d'instrument (130), du second ensemble bras d'instrument (140) et de l'ensemble bras de caméra (120) à travers le premier orifice d'accès (112a) du corps externe (112), et dans une cavité d'un patient ;
    dans lequel l'ensemble orifice (110) peut être configuré pour fournir à l'ensemble orifice (110) un canal d'accès via le second orifice d'accès (114a) du corps interne (114) lorsque le corps interne (114) est positionné dans le premier orifice d'accès (112a) du corps externe (112) ;
    dans lequel le premier ensemble bras d'instrument (130) peut être configuré pour fournir au moins sept degrés de liberté in vivo à l'intérieur d'une cavité abdominale d'un patient lorsque le dispositif chirurgical fonctionne.
  2. Dispositif chirurgical selon la revendication 1, dans lequel l'ensemble orifice (110) peut être configuré pour fournir au moins un degré de liberté, dans lequel au moins l'un des degrés de liberté de l'ensemble orifice (110) est un mouvement de torsion ou un mouvement de pivotement par rapport à un ancrage externe (200).
  3. Dispositif chirurgical selon la revendication 1, dans lequel chaque première partie de liaison peut être configurée pour fournir à un premier segment de bras attaché au moins un degré de liberté, et dans lequel la première partie de liaison d'instrument peut être configurée pour fournir à l'instrument d'extrémité (139) au moins un degré de liberté.
  4. Dispositif chirurgical selon la revendication 1, dans lequel le premier ensemble bras d'instrument (130) comprend au moins trois premiers segments de bras et au moins deux premières parties de liaison.
  5. Dispositif chirurgical selon la revendication 3, dans lequel chacun de l'au moins un degré de liberté de chaque premier segment de bras attaché inclut un mouvement de torsion ou un mouvement de pivotement par rapport à la première partie de liaison.
  6. Dispositif chirurgical selon la revendication 3, dans lequel chaque degré de liberté de chaque premier segment de bras attaché est un degré de liberté in vivo à l'intérieur d'une cavité abdominale d'un patient lorsque le dispositif chirurgical fonctionne, dans lequel chaque degré de liberté in vivo est un degré de liberté fourni par chaque premier segment de bras attaché après que le premier ensemble bras d'instrument (130) est inséré dans l'ensemble orifice (110), et dans lequel chaque degré de liberté de chaque premier segment de bras attaché peut être commandé indépendamment par un dispositif informatique.
  7. Dispositif chirurgical selon la revendication 3, dans lequel chacun de l'au moins un degré de liberté de l'instrument d'extrémité (139) inclut un mouvement de torsion ou un mouvement de pivotement par rapport à la première partie de liaison d'instrument.
  8. Dispositif chirurgical selon la revendication 3, dans lequel chaque degré de liberté de l'instrument d'extrémité (139) est un degré de liberté in vivo à l'intérieur d'une cavité abdominale d'un patient lorsque le dispositif chirurgical fonctionne, dans lequel chaque degré de liberté in vivo est un degré de liberté fourni par l'instrument d'extrémité (139) après que le premier ensemble bras d'instrument (130) est inséré dans l'ensemble orifice (110), et dans lequel chaque degré de liberté de l'instrument d'extrémité (139) peut être commandé indépendamment par un dispositif informatique.
  9. Dispositif chirurgical selon la revendication 1, dans lequel le premier ensemble bras d'instrument (130) peut être configuré pour fournir au moins sept degrés de liberté in vivo à l'intérieur d'une cavité abdominale d'un patient lorsque le dispositif chirurgical fonctionne, dans lequel chaque degré de liberté in vivo est un degré de liberté fourni par le premier ensemble bras d'instrument (130) après que le premier ensemble bras d'instrument (130) est inséré dans l'ensemble orifice (110).
  10. Dispositif chirurgical selon la revendication 1, dans lequel l'ensemble bras de caméra (120) inclut une ou plusieurs parties de liaison de caméra, une pluralité de segments de bras de caméra reliés selon un agencement en série via les une ou plusieurs parties de liaison de caméra, et l'au moins une caméra (127) reliée à l'un des segments de bras de caméra, dans lequel chaque partie de liaison de caméra peut être configurée pour fournir à un segment de bras de caméra attaché au moins un degré de liberté, dans lequel l'au moins un degré de liberté de chaque segment de bras de caméra attaché inclut un mouvement de torsion ou un mouvement de pivotement par rapport à la partie de liaison de caméra, dans lequel l'au moins un degré de liberté de chaque segment de bras de caméra attaché est un degré de liberté in vivo à l'intérieur d'une cavité abdominale d'un patient lorsque le dispositif chirurgical fonctionne, dans lequel chaque degré de liberté in vivo est un degré de liberté fourni par chaque segment de bras de caméra attaché après que l'ensemble bras de caméra (120) est inséré dans l'ensemble orifice (110), dans lequel l'au moins un degré de liberté de chaque segment de bras de caméra attaché peut être commandé indépendamment par un dispositif informatique, dans lequel l'ensemble bras de caméra (120) comprend en outre au moins une source d'éclairage (129), et dans lequel l'au moins une caméra (127) est une caméra 3D haute définition (127).
  11. Dispositif chirurgical selon la revendication 1, comprenant en outre un ou plusieurs ensembles bras d'instrument supplémentaires (140), chacun des ensembles bras d'instrument supplémentaires (140) pouvant être configuré pour s'insérer dans le premier orifice d'accès (112a) et se fixer à l'une des parties d'ancrage (116), dans lequel chacun des un ou plusieurs ensembles bras d'instrument supplémentaires (140) peut être configuré pour fournir au moins sept degrés de liberté in vivo à l'intérieur d'une cavité abdominale d'un patient lorsque le dispositif chirurgical fonctionne, et dans lequel chaque degré de liberté in vivo est un degré de liberté fourni par chacun des un ou plusieurs ensembles bras d'instrument supplémentaires (140) après que chacun des un ou plusieurs ensembles bras d'instrument supplémentaires (140) est inséré dans l'ensemble orifice (110).
  12. Dispositif chirurgical selon la revendication 1, comprenant en outre un ou plusieurs ensembles bras d'assistance (150) incluant une partie de liaison de bras d'assistance, une pluralité de segments de bras d'assistance reliés selon un agencement en série via la partie de liaison de bras d'assistance, dans lequel chaque partie de liaison de bras d'assistance peut être configurée pour fournir à un segment de bras d'assistance attaché au moins un degré de liberté, dans lequel chacun des un ou plusieurs ensembles bras d'assistance peut être configuré pour s'insérer dans le premier orifice d'accès (112a) et s'attacher à l'une des parties d'ancrage (116), et dans lequel chacun des degrés de liberté de chacun des ensembles bras d'instrument (130, 140) et des ensembles bras d'assistance (150) peuvent être commandés indépendamment.
  13. Dispositif chirurgical selon la revendication 1, dans lequel le premier ensemble bras d'instrument (130) est configuré en outre pour fournir une force et/ou rétroaction haptique à un dispositif informatique.
  14. Dispositif chirurgical selon la revendication 1, dans lequel une longueur d'au moins un premier segment de bras du premier ensemble bras d'instrument (130) peut être réglée de manière variable en réponse à un ordre provenant d'un dispositif informatique.
  15. Dispositif chirurgical selon la revendication 1, dans lequel au moins une opération du premier ensemble bras d'instrument (130) peut être commandée par le biais d'une communication filaire et/ou sans fil d'un dispositif informatique.
  16. Dispositif chirurgical selon la revendication 1, dans lequel un diamètre externe de l'ensemble orifice (110) est inférieur ou égal à environ 22 mm.
  17. Dispositif chirurgical selon la revendication 1, dans lequel un diamètre externe du premier ensemble bras d'instrument (130) est inférieur ou égal à environ 16 mm.
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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP4265216A1 (fr) * 2022-04-21 2023-10-25 Microsure B.V. Bras de robot destiné à être utilisé en chirurgie, microchirurgie ou super-microchirurgie

Families Citing this family (329)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9060770B2 (en) 2003-05-20 2015-06-23 Ethicon Endo-Surgery, Inc. Robotically-driven surgical instrument with E-beam driver
US20070084897A1 (en) 2003-05-20 2007-04-19 Shelton Frederick E Iv Articulating surgical stapling instrument incorporating a two-piece e-beam firing mechanism
US9072535B2 (en) 2011-05-27 2015-07-07 Ethicon Endo-Surgery, Inc. Surgical stapling instruments with rotatable staple deployment arrangements
US11890012B2 (en) 2004-07-28 2024-02-06 Cilag Gmbh International Staple cartridge comprising cartridge body and attached support
US10159482B2 (en) 2005-08-31 2018-12-25 Ethicon Llc Fastener cartridge assembly comprising a fixed anvil and different staple heights
US7669746B2 (en) 2005-08-31 2010-03-02 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US7934630B2 (en) 2005-08-31 2011-05-03 Ethicon Endo-Surgery, Inc. Staple cartridges for forming staples having differing formed staple heights
US11246590B2 (en) 2005-08-31 2022-02-15 Cilag Gmbh International Staple cartridge including staple drivers having different unfired heights
US11484312B2 (en) 2005-08-31 2022-11-01 Cilag Gmbh International Staple cartridge comprising a staple driver arrangement
US20070106317A1 (en) 2005-11-09 2007-05-10 Shelton Frederick E Iv Hydraulically and electrically actuated articulation joints for surgical instruments
US8708213B2 (en) 2006-01-31 2014-04-29 Ethicon Endo-Surgery, Inc. Surgical instrument having a feedback system
US8820603B2 (en) 2006-01-31 2014-09-02 Ethicon Endo-Surgery, Inc. Accessing data stored in a memory of a surgical instrument
US11278279B2 (en) 2006-01-31 2022-03-22 Cilag Gmbh International Surgical instrument assembly
US20110295295A1 (en) 2006-01-31 2011-12-01 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical instrument having recording capabilities
US7845537B2 (en) 2006-01-31 2010-12-07 Ethicon Endo-Surgery, Inc. Surgical instrument having recording capabilities
US20120292367A1 (en) 2006-01-31 2012-11-22 Ethicon Endo-Surgery, Inc. Robotically-controlled end effector
US11793518B2 (en) 2006-01-31 2023-10-24 Cilag Gmbh International Powered surgical instruments with firing system lockout arrangements
US8186555B2 (en) 2006-01-31 2012-05-29 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting and fastening instrument with mechanical closure system
US7753904B2 (en) 2006-01-31 2010-07-13 Ethicon Endo-Surgery, Inc. Endoscopic surgical instrument with a handle that can articulate with respect to the shaft
US8992422B2 (en) 2006-03-23 2015-03-31 Ethicon Endo-Surgery, Inc. Robotically-controlled endoscopic accessory channel
US10568652B2 (en) 2006-09-29 2020-02-25 Ethicon Llc Surgical staples having attached drivers of different heights and stapling instruments for deploying the same
US11980366B2 (en) 2006-10-03 2024-05-14 Cilag Gmbh International Surgical instrument
US8684253B2 (en) 2007-01-10 2014-04-01 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor
US11291441B2 (en) 2007-01-10 2022-04-05 Cilag Gmbh International Surgical instrument with wireless communication between control unit and remote sensor
US8652120B2 (en) 2007-01-10 2014-02-18 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between control unit and sensor transponders
US20080169332A1 (en) 2007-01-11 2008-07-17 Shelton Frederick E Surgical stapling device with a curved cutting member
US7735703B2 (en) 2007-03-15 2010-06-15 Ethicon Endo-Surgery, Inc. Re-loadable surgical stapling instrument
US11564682B2 (en) 2007-06-04 2023-01-31 Cilag Gmbh International Surgical stapler device
US8931682B2 (en) 2007-06-04 2015-01-13 Ethicon Endo-Surgery, Inc. Robotically-controlled shaft based rotary drive systems for surgical instruments
US7753245B2 (en) 2007-06-22 2010-07-13 Ethicon Endo-Surgery, Inc. Surgical stapling instruments
US11849941B2 (en) 2007-06-29 2023-12-26 Cilag Gmbh International Staple cartridge having staple cavities extending at a transverse angle relative to a longitudinal cartridge axis
US8636736B2 (en) 2008-02-14 2014-01-28 Ethicon Endo-Surgery, Inc. Motorized surgical cutting and fastening instrument
US11986183B2 (en) 2008-02-14 2024-05-21 Cilag Gmbh International Surgical cutting and fastening instrument comprising a plurality of sensors to measure an electrical parameter
JP5410110B2 (ja) 2008-02-14 2014-02-05 エシコン・エンド−サージェリィ・インコーポレイテッド Ｒｆ電極を有する外科用切断・固定器具
US9179912B2 (en) 2008-02-14 2015-11-10 Ethicon Endo-Surgery, Inc. Robotically-controlled motorized surgical cutting and fastening instrument
US7866527B2 (en) 2008-02-14 2011-01-11 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with interlockable firing system
US7819298B2 (en) 2008-02-14 2010-10-26 Ethicon Endo-Surgery, Inc. Surgical stapling apparatus with control features operable with one hand
US8573465B2 (en) 2008-02-14 2013-11-05 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical end effector system with rotary actuated closure systems
US9585657B2 (en) 2008-02-15 2017-03-07 Ethicon Endo-Surgery, Llc Actuator for releasing a layer of material from a surgical end effector
US9005230B2 (en) 2008-09-23 2015-04-14 Ethicon Endo-Surgery, Inc. Motorized surgical instrument
US11648005B2 (en) 2008-09-23 2023-05-16 Cilag Gmbh International Robotically-controlled motorized surgical instrument with an end effector
US8210411B2 (en) 2008-09-23 2012-07-03 Ethicon Endo-Surgery, Inc. Motor-driven surgical cutting instrument
US9386983B2 (en) 2008-09-23 2016-07-12 Ethicon Endo-Surgery, Llc Robotically-controlled motorized surgical instrument
US8608045B2 (en) 2008-10-10 2013-12-17 Ethicon Endo-Sugery, Inc. Powered surgical cutting and stapling apparatus with manually retractable firing system
US9211120B2 (en) 2011-04-29 2015-12-15 Ethicon Endo-Surgery, Inc. Tissue thickness compensator comprising a plurality of medicaments
US9861361B2 (en) 2010-09-30 2018-01-09 Ethicon Llc Releasable tissue thickness compensator and fastener cartridge having the same
US11812965B2 (en) 2010-09-30 2023-11-14 Cilag Gmbh International Layer of material for a surgical end effector
US10945731B2 (en) 2010-09-30 2021-03-16 Ethicon Llc Tissue thickness compensator comprising controlled release and expansion
US11298125B2 (en) 2010-09-30 2022-04-12 Cilag Gmbh International Tissue stapler having a thickness compensator
US9629814B2 (en) 2010-09-30 2017-04-25 Ethicon Endo-Surgery, Llc Tissue thickness compensator configured to redistribute compressive forces
US9386988B2 (en) 2010-09-30 2016-07-12 Ethicon End-Surgery, LLC Retainer assembly including a tissue thickness compensator
US8857694B2 (en) 2010-09-30 2014-10-14 Ethicon Endo-Surgery, Inc. Staple cartridge loading assembly
US11849952B2 (en) 2010-09-30 2023-12-26 Cilag Gmbh International Staple cartridge comprising staples positioned within a compressible portion thereof
US8695866B2 (en) 2010-10-01 2014-04-15 Ethicon Endo-Surgery, Inc. Surgical instrument having a power control circuit
JP6026509B2 (ja) 2011-04-29 2016-11-16 エシコン・エンド−サージェリィ・インコーポレイテッドＥｔｈｉｃｏｎ Ｅｎｄｏ−Ｓｕｒｇｅｒｙ，Ｉｎｃ． ステープルカートリッジ自体の圧縮可能部分内に配置されたステープルを含むステープルカートリッジ
CA3082073C (fr) 2011-07-11 2023-07-25 Board Of Regents Of The University Of Nebraska Dispositifs chirurgicaux robotiques, systemes et methodes connexes
JP6105041B2 (ja) 2012-03-28 2017-03-29 エシコン・エンド−サージェリィ・インコーポレイテッドＥｔｈｉｃｏｎ Ｅｎｄｏ−Ｓｕｒｇｅｒｙ，Ｉｎｃ． 低圧環境を画定するカプセルを含む組織厚コンペンセーター
BR112014024102B1 (pt) 2012-03-28 2022-03-03 Ethicon Endo-Surgery, Inc Conjunto de cartucho de prendedores para um instrumento cirúrgico, e conjunto de atuador de extremidade para um instrumento cirúrgico
EP2844181B1 (fr) 2012-05-01 2021-03-10 Board of Regents of the University of Nebraska Dispositif robotique à site unique et systèmes associés
US9101358B2 (en) 2012-06-15 2015-08-11 Ethicon Endo-Surgery, Inc. Articulatable surgical instrument comprising a firing drive
US9649111B2 (en) 2012-06-28 2017-05-16 Ethicon Endo-Surgery, Llc Replaceable clip cartridge for a clip applier
US9408606B2 (en) 2012-06-28 2016-08-09 Ethicon Endo-Surgery, Llc Robotically powered surgical device with manually-actuatable reversing system
BR112014032776B1 (pt) 2012-06-28 2021-09-08 Ethicon Endo-Surgery, Inc Sistema de instrumento cirúrgico e kit cirúrgico para uso com um sistema de instrumento cirúrgico
US9289256B2 (en) 2012-06-28 2016-03-22 Ethicon Endo-Surgery, Llc Surgical end effectors having angled tissue-contacting surfaces
US20140001231A1 (en) 2012-06-28 2014-01-02 Ethicon Endo-Surgery, Inc. Firing system lockout arrangements for surgical instruments
WO2014025399A1 (fr) 2012-08-08 2014-02-13 Board Of Regents Of The University Of Nebraska Systèmes et dispositifs chirurgicaux robotiques, et procédés associés
RU2672520C2 (ru) 2013-03-01 2018-11-15 Этикон Эндо-Серджери, Инк. Шарнирно поворачиваемые хирургические инструменты с проводящими путями для передачи сигналов
MX364729B (es) 2013-03-01 2019-05-06 Ethicon Endo Surgery Inc Instrumento quirúrgico con una parada suave.
US9629629B2 (en) 2013-03-14 2017-04-25 Ethicon Endo-Surgey, LLC Control systems for surgical instruments
WO2014160086A2 (fr) 2013-03-14 2014-10-02 Board Of Regents Of The University Of Nebraska Procédés, systèmes et dispositifs associés à des dispositifs chirurgicaux robotiques, des effecteurs finaux et des unités de commande
US10405857B2 (en) 2013-04-16 2019-09-10 Ethicon Llc Powered linear surgical stapler
BR112015026109B1 (pt) 2013-04-16 2022-02-22 Ethicon Endo-Surgery, Inc Instrumento cirúrgico
US10966700B2 (en) 2013-07-17 2021-04-06 Virtual Incision Corporation Robotic surgical devices, systems and related methods
US9283054B2 (en) 2013-08-23 2016-03-15 Ethicon Endo-Surgery, Llc Interactive displays
CN106028966B (zh) 2013-08-23 2018-06-22 伊西康内外科有限责任公司 用于动力外科器械的击发构件回缩装置
JP6358811B2 (ja) * 2014-02-13 2018-07-18 オリンパス株式会社 マニピュレータ及びマニピュレータシステム
US9733663B2 (en) 2014-03-26 2017-08-15 Ethicon Llc Power management through segmented circuit and variable voltage protection
CN106456176B (zh) 2014-04-16 2019-06-28 伊西康内外科有限责任公司 包括具有不同构型的延伸部的紧固件仓
JP6532889B2 (ja) 2014-04-16 2019-06-19 エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ 締結具カートリッジ組立体及びステープル保持具カバー配置構成
JP6612256B2 (ja) 2014-04-16 2019-11-27 エシコン エルエルシー 不均一な締結具を備える締結具カートリッジ
US20150297223A1 (en) 2014-04-16 2015-10-22 Ethicon Endo-Surgery, Inc. Fastener cartridges including extensions having different configurations
US10500008B2 (en) 2014-04-22 2019-12-10 Bio-Medical Engineering (HK) Limited Surgical arm system with internally driven gear assemblies
US9827058B1 (en) * 2016-11-01 2017-11-28 Bio-Medical Engineering (HK) Limited Surgical robotic devices and systems for use in performing minimally invasive and natural orifice transluminal endoscopic surgical actions
US11154368B2 (en) 2014-04-22 2021-10-26 Bio-Medical Engineering (HK) Limited Port assembly for use with robotic devices and systems to perform single incision procedures and natural orifice translumenal endoscopic surgical procedures
US11090123B2 (en) 2014-04-22 2021-08-17 Bio-Medical Engineering (HK) Limited Robotic devices and systems for performing single incision procedures and natural orifice translumenal endoscopic surgical procedures, and methods of configuring robotic devices and systems
US9855108B2 (en) 2014-04-22 2018-01-02 Bio-Medical Engineering (HK) Limited Robotic devices and systems for performing single incision procedures and natural orifice translumenal endoscopic surgical procedures, and methods of configuring robotic devices and systems
US9895200B2 (en) 2014-04-22 2018-02-20 Bio-Medical Engineering (HK) Limited Robotic devices and systems for performing single incision procedures and natural orifice translumenal endoscopic surgical procedures, and methods of configuring robotic devices and systems
EP3134006B1 (fr) 2014-04-22 2020-02-12 Bio-Medical Engineering (HK) Limited Dispositifs et systèmes robotiques chirurgicaux d'accès unique
US11801099B2 (en) 2014-04-22 2023-10-31 Bio-Medical Engineering (HK) Limited Robotic devices and systems for performing single incision procedures and natural orifice translumenal endoscopic surgical procedures, and methods of configuring robotic devices and systems
US9724168B2 (en) 2014-04-22 2017-08-08 Bio-Medical Engineering (HK) Limited Robotic devices and systems for performing single incision procedures and natural orifice translumenal endoscopic surgical procedures, and methods of configuring robotic devices and systems
US20160000514A1 (en) * 2014-07-03 2016-01-07 Alan Ellman Surgical vision and sensor system
US11311294B2 (en) 2014-09-05 2022-04-26 Cilag Gmbh International Powered medical device including measurement of closure state of jaws
US10016199B2 (en) 2014-09-05 2018-07-10 Ethicon Llc Polarity of hall magnet to identify cartridge type
BR112017004361B1 (pt) 2014-09-05 2023-04-11 Ethicon Llc Sistema eletrônico para um instrumento cirúrgico
US11523821B2 (en) 2014-09-26 2022-12-13 Cilag Gmbh International Method for creating a flexible staple line
USD759741S1 (en) * 2014-10-09 2016-06-21 Bryan Wu Domestic and industrial robot
US9924944B2 (en) 2014-10-16 2018-03-27 Ethicon Llc Staple cartridge comprising an adjunct material
US10517594B2 (en) 2014-10-29 2019-12-31 Ethicon Llc Cartridge assemblies for surgical staplers
US11141153B2 (en) 2014-10-29 2021-10-12 Cilag Gmbh International Staple cartridges comprising driver arrangements
US9844376B2 (en) 2014-11-06 2017-12-19 Ethicon Llc Staple cartridge comprising a releasable adjunct material
US10736636B2 (en) 2014-12-10 2020-08-11 Ethicon Llc Articulatable surgical instrument system
MX2017008108A (es) 2014-12-18 2018-03-06 Ethicon Llc Instrumento quirurgico con un yunque que puede moverse de manera selectiva sobre un eje discreto no movil con relacion a un cartucho de grapas.
US9844374B2 (en) 2014-12-18 2017-12-19 Ethicon Llc Surgical instrument systems comprising an articulatable end effector and means for adjusting the firing stroke of a firing member
US9987000B2 (en) 2014-12-18 2018-06-05 Ethicon Llc Surgical instrument assembly comprising a flexible articulation system
US9844375B2 (en) 2014-12-18 2017-12-19 Ethicon Llc Drive arrangements for articulatable surgical instruments
US10085748B2 (en) 2014-12-18 2018-10-02 Ethicon Llc Locking arrangements for detachable shaft assemblies with articulatable surgical end effectors
US10004501B2 (en) 2014-12-18 2018-06-26 Ethicon Llc Surgical instruments with improved closure arrangements
US11154301B2 (en) 2015-02-27 2021-10-26 Cilag Gmbh International Modular stapling assembly
US9993248B2 (en) 2015-03-06 2018-06-12 Ethicon Endo-Surgery, Llc Smart sensors with local signal processing
US10441279B2 (en) 2015-03-06 2019-10-15 Ethicon Llc Multiple level thresholds to modify operation of powered surgical instruments
US10548504B2 (en) 2015-03-06 2020-02-04 Ethicon Llc Overlaid multi sensor radio frequency (RF) electrode system to measure tissue compression
JP2020121162A (ja) 2015-03-06 2020-08-13 エシコン エルエルシーＥｔｈｉｃｏｎ ＬＬＣ 測定の安定性要素、クリープ要素、及び粘弾性要素を決定するためのセンサデータの時間依存性評価
US10213201B2 (en) 2015-03-31 2019-02-26 Ethicon Llc Stapling end effector configured to compensate for an uneven gap between a first jaw and a second jaw
WO2016169361A1 (fr) * 2015-04-22 2016-10-27 Bio-Medical Engineering (HK) Limited Dispositifs et systèmes robotisés permettant de mettre en oeuvre des procédures d'incision unique et des procédures de chirurgie endoscopique transluminale par orifice naturel, et procédés de configuration des dispositifs et des systèmes robotisés
US11918249B2 (en) 2015-07-15 2024-03-05 Axcess Instruments IP Holding Company Access device with anchoring body and modular inserts and support structure for supporting accessories used in minimally invasive surgical procedures
US10278730B2 (en) * 2015-07-15 2019-05-07 Axcess Instruments Inc. Access device with anchoring body and modular inserts and support structure for supporting accessories used in minimally invasive surgical procedures
US10687847B2 (en) * 2015-07-15 2020-06-23 Axcess Instruments Inc. Access device having modular inserts and supporting accessories used in minimally invasive surgical procedures
JP6961146B2 (ja) 2015-08-03 2021-11-05 バーチャル インシジョン コーポレイションVirtual Incision Corporation ロボット外科的デバイス、システムおよび関連する方法
US10105139B2 (en) 2015-09-23 2018-10-23 Ethicon Llc Surgical stapler having downstream current-based motor control
US10238386B2 (en) 2015-09-23 2019-03-26 Ethicon Llc Surgical stapler having motor control based on an electrical parameter related to a motor current
US11890015B2 (en) 2015-09-30 2024-02-06 Cilag Gmbh International Compressible adjunct with crossing spacer fibers
US10433846B2 (en) 2015-09-30 2019-10-08 Ethicon Llc Compressible adjunct with crossing spacer fibers
US10292704B2 (en) 2015-12-30 2019-05-21 Ethicon Llc Mechanisms for compensating for battery pack failure in powered surgical instruments
US11213293B2 (en) 2016-02-09 2022-01-04 Cilag Gmbh International Articulatable surgical instruments with single articulation link arrangements
CN108882932B (zh) 2016-02-09 2021-07-23 伊西康有限责任公司 具有非对称关节运动构造的外科器械
US10448948B2 (en) 2016-02-12 2019-10-22 Ethicon Llc Mechanisms for compensating for drivetrain failure in powered surgical instruments
US11224426B2 (en) 2016-02-12 2022-01-18 Cilag Gmbh International Mechanisms for compensating for drivetrain failure in powered surgical instruments
CN105963017B (zh) * 2016-04-12 2018-08-24 浙江大学 一种空间多自由度手术辅助手臂机构
US10828028B2 (en) 2016-04-15 2020-11-10 Ethicon Llc Surgical instrument with multiple program responses during a firing motion
US10357247B2 (en) 2016-04-15 2019-07-23 Ethicon Llc Surgical instrument with multiple program responses during a firing motion
US11607239B2 (en) 2016-04-15 2023-03-21 Cilag Gmbh International Systems and methods for controlling a surgical stapling and cutting instrument
US10492783B2 (en) 2016-04-15 2019-12-03 Ethicon, Llc Surgical instrument with improved stop/start control during a firing motion
US10426467B2 (en) 2016-04-15 2019-10-01 Ethicon Llc Surgical instrument with detection sensors
US20170296173A1 (en) 2016-04-18 2017-10-19 Ethicon Endo-Surgery, Llc Method for operating a surgical instrument
US11317917B2 (en) 2016-04-18 2022-05-03 Cilag Gmbh International Surgical stapling system comprising a lockable firing assembly
US10368867B2 (en) 2016-04-18 2019-08-06 Ethicon Llc Surgical instrument comprising a lockout
CA3024623A1 (fr) 2016-05-18 2017-11-23 Virtual Incision Corporation Dispositifs chirurgicaux robotiques, systemes et procedes associes
WO2017218552A1 (fr) * 2016-06-15 2017-12-21 Intuitive Surgical Operations, Inc. Systèmes et procédés de visualisation intégrée en temps réel
WO2018005354A1 (fr) * 2016-07-01 2018-01-04 Intuitive Surgical Operations, Inc. Procédé de positionnement d'un endoscope à arbre flexible
CN106377316B (zh) * 2016-09-18 2020-07-14 上海交通大学 一种甲状腺微创外科手术操作装备
CN107485415A (zh) * 2016-11-01 2017-12-19 香港生物医学工程有限公司 用于执行经自然腔道内窥镜手术的外科系统
CN109567943B (zh) * 2016-11-01 2023-01-10 香港生物医学工程有限公司 用于执行体内外科手术的外科系统
WO2018082294A1 (fr) * 2016-11-01 2018-05-11 Bio-Medical Engineering (HK) Limited Dispositifs et systèmes robotisés permettant de mettre en oeuvre des procédures d'incision unique et des procédures de chirurgie endoscopique transluminale par orifice naturel, et procédés de configuration des dispositifs et des systèmes robotisés
CN109893179B (zh) * 2016-11-01 2022-11-04 香港生物医学工程有限公司 用于执行经自然腔道内窥镜手术的外科系统
JP2020500674A (ja) 2016-11-22 2020-01-16 ボード オブ リージェンツ オブ ザ ユニバーシティ オブ ネブラスカ 改良された全体的位置決めデバイスならびに関連するシステムおよび方法
WO2018112199A1 (fr) 2016-12-14 2018-06-21 Virtual Incision Corporation Dispositif de fixation libérable destiné à être accouplé à des dispositifs médicaux et systèmes et procédés associés
CN106618736B (zh) 2016-12-16 2019-03-08 微创（上海）医疗机器人有限公司 具有双自由度的机械臂和手术机器人
JP7010956B2 (ja) 2016-12-21 2022-01-26 エシコン エルエルシー 組織をステープル留めする方法
US10835245B2 (en) 2016-12-21 2020-11-17 Ethicon Llc Method for attaching a shaft assembly to a surgical instrument and, alternatively, to a surgical robot
MX2019007295A (es) 2016-12-21 2019-10-15 Ethicon Llc Sistema de instrumento quirúrgico que comprende un bloqueo del efector de extremo y un bloqueo de la unidad de disparo.
US20180168615A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Method of deforming staples from two different types of staple cartridges with the same surgical stapling instrument
US10973516B2 (en) 2016-12-21 2021-04-13 Ethicon Llc Surgical end effectors and adaptable firing members therefor
US10537325B2 (en) 2016-12-21 2020-01-21 Ethicon Llc Staple forming pocket arrangement to accommodate different types of staples
US10603036B2 (en) 2016-12-21 2020-03-31 Ethicon Llc Articulatable surgical instrument with independent pivotable linkage distal of an articulation lock
US20180168625A1 (en) 2016-12-21 2018-06-21 Ethicon Endo-Surgery, Llc Surgical stapling instruments with smart staple cartridges
US11419606B2 (en) 2016-12-21 2022-08-23 Cilag Gmbh International Shaft assembly comprising a clutch configured to adapt the output of a rotary firing member to two different systems
JP6983893B2 (ja) 2016-12-21 2021-12-17 エシコン エルエルシーEthicon LLC 外科用エンドエフェクタ及び交換式ツールアセンブリのためのロックアウト構成
US10624635B2 (en) 2016-12-21 2020-04-21 Ethicon Llc Firing members with non-parallel jaw engagement features for surgical end effectors
WO2018209518A1 (fr) * 2017-05-15 2018-11-22 Bio-Medical Engineering (HK) Limited Systèmes, dispositifs et procédés pour effectuer des actions chirurgicales par l'intermédiaire d'ensembles d'entraînement entraînés extérieurement
CN110719759B (zh) * 2017-05-30 2023-06-30 阿皮克斯医疗股份有限公司 具有机器人尖端的电外科手术装置
US11653914B2 (en) 2017-06-20 2023-05-23 Cilag Gmbh International Systems and methods for controlling motor velocity of a surgical stapling and cutting instrument according to articulation angle of end effector
US11517325B2 (en) 2017-06-20 2022-12-06 Cilag Gmbh International Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured displacement distance traveled over a specified time interval
US10913145B2 (en) * 2017-06-20 2021-02-09 Verb Surgical Inc. Cart for robotic arms and method and apparatus for cartridge or magazine loading of arms
US10307170B2 (en) 2017-06-20 2019-06-04 Ethicon Llc Method for closed loop control of motor velocity of a surgical stapling and cutting instrument
US10881399B2 (en) 2017-06-20 2021-01-05 Ethicon Llc Techniques for adaptive control of motor velocity of a surgical stapling and cutting instrument
US10779820B2 (en) 2017-06-20 2020-09-22 Ethicon Llc Systems and methods for controlling motor speed according to user input for a surgical instrument
US11382638B2 (en) 2017-06-20 2022-07-12 Cilag Gmbh International Closed loop feedback control of motor velocity of a surgical stapling and cutting instrument based on measured time over a specified displacement distance
US11324503B2 (en) 2017-06-27 2022-05-10 Cilag Gmbh International Surgical firing member arrangements
US10993716B2 (en) 2017-06-27 2021-05-04 Ethicon Llc Surgical anvil arrangements
US10765427B2 (en) 2017-06-28 2020-09-08 Ethicon Llc Method for articulating a surgical instrument
EP4070740A1 (fr) 2017-06-28 2022-10-12 Cilag GmbH International Instrument chirurgical comprenant des coupleurs rotatifs actionnables de façon sélective
US11564686B2 (en) 2017-06-28 2023-01-31 Cilag Gmbh International Surgical shaft assemblies with flexible interfaces
USD906355S1 (en) 2017-06-28 2020-12-29 Ethicon Llc Display screen or portion thereof with a graphical user interface for a surgical instrument
US10779824B2 (en) 2017-06-28 2020-09-22 Ethicon Llc Surgical instrument comprising an articulation system lockable by a closure system
US11478242B2 (en) 2017-06-28 2022-10-25 Cilag Gmbh International Jaw retainer arrangement for retaining a pivotable surgical instrument jaw in pivotable retaining engagement with a second surgical instrument jaw
US10932772B2 (en) 2017-06-29 2021-03-02 Ethicon Llc Methods for closed loop velocity control for robotic surgical instrument
CN107228263B (zh) * 2017-07-31 2023-09-19 中国工程物理研究院总体工程研究所 土工离心机用六自由度摄像头支座
US11471155B2 (en) 2017-08-03 2022-10-18 Cilag Gmbh International Surgical system bailout
US11944300B2 (en) 2017-08-03 2024-04-02 Cilag Gmbh International Method for operating a surgical system bailout
US11974742B2 (en) 2017-08-03 2024-05-07 Cilag Gmbh International Surgical system comprising an articulation bailout
US11304695B2 (en) 2017-08-03 2022-04-19 Cilag Gmbh International Surgical system shaft interconnection
DE102017118126A1 (de) * 2017-08-09 2019-02-14 avateramedical GmBH Robotisches Operationssystem
CN111278384A (zh) * 2017-09-08 2020-06-12 柯惠Lp公司 利用跟踪辅助摄像机对手术部位进行功能成像
CN111417333B (zh) 2017-09-27 2023-08-29 虚拟切割有限公司 具有跟踪相机技术的机器人手术设备及相关系统和方法
US10743872B2 (en) 2017-09-29 2020-08-18 Ethicon Llc System and methods for controlling a display of a surgical instrument
WO2019079430A1 (fr) 2017-10-17 2019-04-25 Verily Life Sciences Llc Systèmes et procédés de segmentation de vidéos chirurgicales
US10842490B2 (en) 2017-10-31 2020-11-24 Ethicon Llc Cartridge body design with force reduction based on firing completion
CN109893078B (zh) * 2017-12-11 2021-12-03 梅达布蒂奇股份有限公司 一种腹腔镜
US10779826B2 (en) 2017-12-15 2020-09-22 Ethicon Llc Methods of operating surgical end effectors
US10835330B2 (en) 2017-12-19 2020-11-17 Ethicon Llc Method for determining the position of a rotatable jaw of a surgical instrument attachment assembly
US11311290B2 (en) 2017-12-21 2022-04-26 Cilag Gmbh International Surgical instrument comprising an end effector dampener
US20190192148A1 (en) 2017-12-21 2019-06-27 Ethicon Llc Stapling instrument comprising a tissue drive
US10507070B2 (en) 2017-12-28 2019-12-17 Ifeanyi Ugochuku Single port multi-instrument surgical robot
CN117140580A (zh) 2018-01-05 2023-12-01 内布拉斯加大学董事会 具有紧凑型关节设计的单臂机器人装置及相关系统和方法
WO2020006811A1 (fr) * 2018-07-06 2020-01-09 Bio-Medical Engineering (HK) Limited Ensemble orifice destiné à être utilisé avec des dispositifs robotiques et des systèmes pour effectuer des procédures d'incision unique et des procédures chirurgicales endoscopiques transluminale par orifice naturel
CN109330692B (zh) * 2018-07-31 2023-08-22 深圳市精锋医疗科技股份有限公司 视野较好的从操作设备组件及手术机器人
US11324501B2 (en) 2018-08-20 2022-05-10 Cilag Gmbh International Surgical stapling devices with improved closure members
US11207065B2 (en) 2018-08-20 2021-12-28 Cilag Gmbh International Method for fabricating surgical stapler anvils
EP3813715A4 (fr) 2018-09-17 2022-04-13 Auris Health, Inc. Systèmes et procédés pour interventions médicales concomitantes
WO2020107397A1 (fr) 2018-11-30 2020-06-04 Bio-Medical Engineering (HK) Limited Système de bras robotique avec ensemble effecteur terminal entraîné par engrenage
WO2020131186A1 (fr) 2018-12-20 2020-06-25 Auris Health, Inc. Systèmes et procédés d'alignement et d'amarrage de bras robotisé
WO2020146348A1 (fr) * 2019-01-07 2020-07-16 Virtual Incision Corporation Systèmes chirurgical assisté par robot, et dispositifs et procédés associés
EP3890644A4 (fr) 2019-02-08 2022-11-16 Auris Health, Inc. Manipulation et retrait de caillot à commande robotisée
US11348235B2 (en) * 2019-03-22 2022-05-31 Verily Life Sciences Llc Improving surgical video consumption by identifying useful segments in surgical videos
US11696761B2 (en) 2019-03-25 2023-07-11 Cilag Gmbh International Firing drive arrangements for surgical systems
EP3952779A4 (fr) 2019-04-08 2023-01-18 Auris Health, Inc. Systèmes, procédés et flux de travaux pour procédures concomitantes
US11471157B2 (en) 2019-04-30 2022-10-18 Cilag Gmbh International Articulation control mapping for a surgical instrument
US11648009B2 (en) 2019-04-30 2023-05-16 Cilag Gmbh International Rotatable jaw tip for a surgical instrument
US11903581B2 (en) 2019-04-30 2024-02-20 Cilag Gmbh International Methods for stapling tissue using a surgical instrument
US11432816B2 (en) 2019-04-30 2022-09-06 Cilag Gmbh International Articulation pin for a surgical instrument
US11452528B2 (en) 2019-04-30 2022-09-27 Cilag Gmbh International Articulation actuators for a surgical instrument
US11253254B2 (en) 2019-04-30 2022-02-22 Cilag Gmbh International Shaft rotation actuator on a surgical instrument
US11426251B2 (en) 2019-04-30 2022-08-30 Cilag Gmbh International Articulation directional lights on a surgical instrument
CN111714162B (zh) * 2019-05-10 2023-03-28 上海微创医疗机器人（集团）股份有限公司 手术装置及手术器械
US11853835B2 (en) 2019-06-28 2023-12-26 Cilag Gmbh International RFID identification systems for surgical instruments
US11478241B2 (en) 2019-06-28 2022-10-25 Cilag Gmbh International Staple cartridge including projections
US11627959B2 (en) 2019-06-28 2023-04-18 Cilag Gmbh International Surgical instruments including manual and powered system lockouts
US11298132B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Inlernational Staple cartridge including a honeycomb extension
US11376098B2 (en) 2019-06-28 2022-07-05 Cilag Gmbh International Surgical instrument system comprising an RFID system
US11229437B2 (en) 2019-06-28 2022-01-25 Cilag Gmbh International Method for authenticating the compatibility of a staple cartridge with a surgical instrument
US11464601B2 (en) 2019-06-28 2022-10-11 Cilag Gmbh International Surgical instrument comprising an RFID system for tracking a movable component
US11771419B2 (en) 2019-06-28 2023-10-03 Cilag Gmbh International Packaging for a replaceable component of a surgical stapling system
US11660163B2 (en) 2019-06-28 2023-05-30 Cilag Gmbh International Surgical system with RFID tags for updating motor assembly parameters
US11361176B2 (en) 2019-06-28 2022-06-14 Cilag Gmbh International Surgical RFID assemblies for compatibility detection
US11291451B2 (en) 2019-06-28 2022-04-05 Cilag Gmbh International Surgical instrument with battery compatibility verification functionality
US12004740B2 (en) 2019-06-28 2024-06-11 Cilag Gmbh International Surgical stapling system having an information decryption protocol
US11523822B2 (en) 2019-06-28 2022-12-13 Cilag Gmbh International Battery pack including a circuit interrupter
US11399837B2 (en) 2019-06-28 2022-08-02 Cilag Gmbh International Mechanisms for motor control adjustments of a motorized surgical instrument
US11684434B2 (en) 2019-06-28 2023-06-27 Cilag Gmbh International Surgical RFID assemblies for instrument operational setting control
US11638587B2 (en) 2019-06-28 2023-05-02 Cilag Gmbh International RFID identification systems for surgical instruments
US11298127B2 (en) 2019-06-28 2022-04-12 Cilag GmbH Interational Surgical stapling system having a lockout mechanism for an incompatible cartridge
US11497492B2 (en) 2019-06-28 2022-11-15 Cilag Gmbh International Surgical instrument including an articulation lock
WO2020258405A1 (fr) * 2019-06-28 2020-12-30 Bio-Medical Engineering (HK) Limited Système de bras chirurgical doté de trains d'engrenages à entraînement interne
US11426167B2 (en) 2019-06-28 2022-08-30 Cilag Gmbh International Mechanisms for proper anvil attachment surgical stapling head assembly
US11553971B2 (en) 2019-06-28 2023-01-17 Cilag Gmbh International Surgical RFID assemblies for display and communication
US11234780B2 (en) 2019-09-10 2022-02-01 Auris Health, Inc. Systems and methods for kinematic optimization with shared robotic degrees-of-freedom
CN114502094A (zh) 2019-09-26 2022-05-13 奥瑞斯健康公司 用于碰撞检测和避免的系统和方法
CN110584585A (zh) * 2019-10-22 2019-12-20 北京仙进机器人有限公司 一种手持式多自由度腹腔镜
US11701111B2 (en) 2019-12-19 2023-07-18 Cilag Gmbh International Method for operating a surgical stapling instrument
US11304696B2 (en) * 2019-12-19 2022-04-19 Cilag Gmbh International Surgical instrument comprising a powered articulation system
US11576672B2 (en) 2019-12-19 2023-02-14 Cilag Gmbh International Surgical instrument comprising a closure system including a closure member and an opening member driven by a drive screw
US11607219B2 (en) 2019-12-19 2023-03-21 Cilag Gmbh International Staple cartridge comprising a detachable tissue cutting knife
US11464512B2 (en) 2019-12-19 2022-10-11 Cilag Gmbh International Staple cartridge comprising a curved deck surface
US11911032B2 (en) 2019-12-19 2024-02-27 Cilag Gmbh International Staple cartridge comprising a seating cam
US11291447B2 (en) 2019-12-19 2022-04-05 Cilag Gmbh International Stapling instrument comprising independent jaw closing and staple firing systems
US11446029B2 (en) 2019-12-19 2022-09-20 Cilag Gmbh International Staple cartridge comprising projections extending from a curved deck surface
US11559304B2 (en) 2019-12-19 2023-01-24 Cilag Gmbh International Surgical instrument comprising a rapid closure mechanism
US11504122B2 (en) 2019-12-19 2022-11-22 Cilag Gmbh International Surgical instrument comprising a nested firing member
US11844520B2 (en) 2019-12-19 2023-12-19 Cilag Gmbh International Staple cartridge comprising driver retention members
US11529137B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Staple cartridge comprising driver retention members
US11529139B2 (en) 2019-12-19 2022-12-20 Cilag Gmbh International Motor driven surgical instrument
JP2023508525A (ja) 2019-12-31 2023-03-02 オーリス ヘルス インコーポレイテッド 経皮的アクセスのための位置合わせ技術
US11602372B2 (en) 2019-12-31 2023-03-14 Auris Health, Inc. Alignment interfaces for percutaneous access
WO2021137072A1 (fr) 2019-12-31 2021-07-08 Auris Health, Inc. Identification et ciblage d'éléments anatomiques
CN111012525B (zh) * 2020-01-20 2020-10-27 北京华腾创新科技有限公司 一种神经外科蛇形持镜臂
WO2021231402A1 (fr) * 2020-05-11 2021-11-18 Vicarious Surgical Inc. Système et procédé d'inversion d'orientation et de visualisation de composants sélectionnés d'une unité robotique chirurgicale miniaturisée in vivo
CN111529067B (zh) * 2020-05-29 2021-07-20 苏州康多机器人有限公司 一种手术机器人机械臂的定位装置及定位方法
USD975278S1 (en) 2020-06-02 2023-01-10 Cilag Gmbh International Staple cartridge
USD967421S1 (en) 2020-06-02 2022-10-18 Cilag Gmbh International Staple cartridge
USD975851S1 (en) 2020-06-02 2023-01-17 Cilag Gmbh International Staple cartridge
USD966512S1 (en) 2020-06-02 2022-10-11 Cilag Gmbh International Staple cartridge
USD975850S1 (en) 2020-06-02 2023-01-17 Cilag Gmbh International Staple cartridge
USD976401S1 (en) 2020-06-02 2023-01-24 Cilag Gmbh International Staple cartridge
USD974560S1 (en) 2020-06-02 2023-01-03 Cilag Gmbh International Staple cartridge
US11839969B2 (en) 2020-06-29 2023-12-12 Auris Health, Inc. Systems and methods for detecting contact between a link and an external object
US11357586B2 (en) 2020-06-30 2022-06-14 Auris Health, Inc. Systems and methods for saturated robotic movement
WO2022003493A1 (fr) 2020-06-30 2022-01-06 Auris Health, Inc. Système médical robotique avec indicateurs de proximité de collision
CN111887995B (zh) * 2020-07-13 2023-01-10 南京航空航天大学 一种小创口单孔手术机器人
US20220031346A1 (en) 2020-07-28 2022-02-03 Cilag Gmbh International Articulatable surgical instruments with articulation joints comprising flexible exoskeleton arrangements
US11931025B2 (en) 2020-10-29 2024-03-19 Cilag Gmbh International Surgical instrument comprising a releasable closure drive lock
US11717289B2 (en) 2020-10-29 2023-08-08 Cilag Gmbh International Surgical instrument comprising an indicator which indicates that an articulation drive is actuatable
US11844518B2 (en) 2020-10-29 2023-12-19 Cilag Gmbh International Method for operating a surgical instrument
US11452526B2 (en) 2020-10-29 2022-09-27 Cilag Gmbh International Surgical instrument comprising a staged voltage regulation start-up system
US11534259B2 (en) 2020-10-29 2022-12-27 Cilag Gmbh International Surgical instrument comprising an articulation indicator
USD980425S1 (en) 2020-10-29 2023-03-07 Cilag Gmbh International Surgical instrument assembly
US11896217B2 (en) 2020-10-29 2024-02-13 Cilag Gmbh International Surgical instrument comprising an articulation lock
US11617577B2 (en) 2020-10-29 2023-04-04 Cilag Gmbh International Surgical instrument comprising a sensor configured to sense whether an articulation drive of the surgical instrument is actuatable
US11517390B2 (en) 2020-10-29 2022-12-06 Cilag Gmbh International Surgical instrument comprising a limited travel switch
US11779330B2 (en) 2020-10-29 2023-10-10 Cilag Gmbh International Surgical instrument comprising a jaw alignment system
USD1013170S1 (en) 2020-10-29 2024-01-30 Cilag Gmbh International Surgical instrument assembly
US11849943B2 (en) 2020-12-02 2023-12-26 Cilag Gmbh International Surgical instrument with cartridge release mechanisms
US11678882B2 (en) 2020-12-02 2023-06-20 Cilag Gmbh International Surgical instruments with interactive features to remedy incidental sled movements
US11737751B2 (en) 2020-12-02 2023-08-29 Cilag Gmbh International Devices and methods of managing energy dissipated within sterile barriers of surgical instrument housings
US11744581B2 (en) 2020-12-02 2023-09-05 Cilag Gmbh International Powered surgical instruments with multi-phase tissue treatment
US11890010B2 (en) 2020-12-02 2024-02-06 Cllag GmbH International Dual-sided reinforced reload for surgical instruments
US11627960B2 (en) 2020-12-02 2023-04-18 Cilag Gmbh International Powered surgical instruments with smart reload with separately attachable exteriorly mounted wiring connections
US11944296B2 (en) 2020-12-02 2024-04-02 Cilag Gmbh International Powered surgical instruments with external connectors
US11653915B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Surgical instruments with sled location detection and adjustment features
US11653920B2 (en) 2020-12-02 2023-05-23 Cilag Gmbh International Powered surgical instruments with communication interfaces through sterile barrier
US20220192701A1 (en) * 2020-12-21 2022-06-23 Mazor Robotics Ltd. Systems and methods for surgical port positioning
US11744583B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Distal communication array to tune frequency of RF systems
US11980362B2 (en) 2021-02-26 2024-05-14 Cilag Gmbh International Surgical instrument system comprising a power transfer coil
US11793514B2 (en) 2021-02-26 2023-10-24 Cilag Gmbh International Staple cartridge comprising sensor array which may be embedded in cartridge body
US11925349B2 (en) 2021-02-26 2024-03-12 Cilag Gmbh International Adjustment to transfer parameters to improve available power
US11696757B2 (en) 2021-02-26 2023-07-11 Cilag Gmbh International Monitoring of internal systems to detect and track cartridge motion status
US11812964B2 (en) 2021-02-26 2023-11-14 Cilag Gmbh International Staple cartridge comprising a power management circuit
US11749877B2 (en) 2021-02-26 2023-09-05 Cilag Gmbh International Stapling instrument comprising a signal antenna
US11950777B2 (en) 2021-02-26 2024-04-09 Cilag Gmbh International Staple cartridge comprising an information access control system
US11723657B2 (en) 2021-02-26 2023-08-15 Cilag Gmbh International Adjustable communication based on available bandwidth and power capacity
US11950779B2 (en) 2021-02-26 2024-04-09 Cilag Gmbh International Method of powering and communicating with a staple cartridge
US11751869B2 (en) 2021-02-26 2023-09-12 Cilag Gmbh International Monitoring of multiple sensors over time to detect moving characteristics of tissue
US11730473B2 (en) 2021-02-26 2023-08-22 Cilag Gmbh International Monitoring of manufacturing life-cycle
US11701113B2 (en) 2021-02-26 2023-07-18 Cilag Gmbh International Stapling instrument comprising a separate power antenna and a data transfer antenna
US11759202B2 (en) 2021-03-22 2023-09-19 Cilag Gmbh International Staple cartridge comprising an implantable layer
US11826012B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Stapling instrument comprising a pulsed motor-driven firing rack
US11723658B2 (en) 2021-03-22 2023-08-15 Cilag Gmbh International Staple cartridge comprising a firing lockout
US11717291B2 (en) 2021-03-22 2023-08-08 Cilag Gmbh International Staple cartridge comprising staples configured to apply different tissue compression
US11826042B2 (en) 2021-03-22 2023-11-28 Cilag Gmbh International Surgical instrument comprising a firing drive including a selectable leverage mechanism
US11806011B2 (en) 2021-03-22 2023-11-07 Cilag Gmbh International Stapling instrument comprising tissue compression systems
US11737749B2 (en) 2021-03-22 2023-08-29 Cilag Gmbh International Surgical stapling instrument comprising a retraction system
US11944336B2 (en) 2021-03-24 2024-04-02 Cilag Gmbh International Joint arrangements for multi-planar alignment and support of operational drive shafts in articulatable surgical instruments
US11857183B2 (en) 2021-03-24 2024-01-02 Cilag Gmbh International Stapling assembly components having metal substrates and plastic bodies
US11896219B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Mating features between drivers and underside of a cartridge deck
US11786239B2 (en) 2021-03-24 2023-10-17 Cilag Gmbh International Surgical instrument articulation joint arrangements comprising multiple moving linkage features
US11849945B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Rotary-driven surgical stapling assembly comprising eccentrically driven firing member
US11793516B2 (en) 2021-03-24 2023-10-24 Cilag Gmbh International Surgical staple cartridge comprising longitudinal support beam
US11744603B2 (en) 2021-03-24 2023-09-05 Cilag Gmbh International Multi-axis pivot joints for surgical instruments and methods for manufacturing same
US11786243B2 (en) 2021-03-24 2023-10-17 Cilag Gmbh International Firing members having flexible portions for adapting to a load during a surgical firing stroke
US11903582B2 (en) 2021-03-24 2024-02-20 Cilag Gmbh International Leveraging surfaces for cartridge installation
US11896218B2 (en) 2021-03-24 2024-02-13 Cilag Gmbh International Method of using a powered stapling device
US11832816B2 (en) 2021-03-24 2023-12-05 Cilag Gmbh International Surgical stapling assembly comprising nonplanar staples and planar staples
US11849944B2 (en) 2021-03-24 2023-12-26 Cilag Gmbh International Drivers for fastener cartridge assemblies having rotary drive screws
JP6951812B1 (ja) * 2021-03-31 2021-10-20 国立大学法人 岡山大学 穿刺ロボットの制御装置
US11998201B2 (en) 2021-05-28 2024-06-04 Cilag CmbH International Stapling instrument comprising a firing lockout
US11957337B2 (en) 2021-10-18 2024-04-16 Cilag Gmbh International Surgical stapling assembly with offset ramped drive surfaces
US11980363B2 (en) 2021-10-18 2024-05-14 Cilag Gmbh International Row-to-row staple array variations
US11877745B2 (en) 2021-10-18 2024-01-23 Cilag Gmbh International Surgical stapling assembly having longitudinally-repeating staple leg clusters
US11937816B2 (en) 2021-10-28 2024-03-26 Cilag Gmbh International Electrical lead arrangements for surgical instruments
CN114652451A (zh) * 2022-04-20 2022-06-24 天津大学医疗机器人与智能系统研究院 器械臂驱动装置及使用其的器械臂

Family Cites Families (82)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5342254A (en) 1992-08-05 1994-08-30 General Motors Corporation End-of-arm tooling device
GB9320830D0 (en) 1993-10-09 1993-12-01 Surgical Innovations Ltd Surgical instrument holders
US6328730B1 (en) * 1999-03-26 2001-12-11 William W. Harkrider, Jr. Endoluminal multi-luminal surgical sheath and method
US6840938B1 (en) 2000-12-29 2005-01-11 Intuitive Surgical, Inc. Bipolar cauterizing instrument
US6817974B2 (en) 2001-06-29 2004-11-16 Intuitive Surgical, Inc. Surgical tool having positively positionable tendon-actuated multi-disk wrist joint
US6655241B2 (en) 2002-01-12 2003-12-02 Burton Kozak Anti-skip fastener tightening and/or extraction device
US20050096502A1 (en) * 2003-10-29 2005-05-05 Khalili Theodore M. Robotic surgical device
US7445596B2 (en) 2004-01-29 2008-11-04 Cannuflow, Inc. Atraumatic arthroscopic instrument sheath
US20070106113A1 (en) * 2005-11-07 2007-05-10 Biagio Ravo Combination endoscopic operative delivery system
US7930065B2 (en) * 2005-12-30 2011-04-19 Intuitive Surgical Operations, Inc. Robotic surgery system including position sensors using fiber bragg gratings
US7464849B2 (en) 2006-01-31 2008-12-16 Ethicon Endo-Surgery, Inc. Electro-mechanical surgical instrument with closure system and anvil alignment components
US8992422B2 (en) * 2006-03-23 2015-03-31 Ethicon Endo-Surgery, Inc. Robotically-controlled endoscopic accessory channel
US8377045B2 (en) 2006-06-13 2013-02-19 Intuitive Surgical Operations, Inc. Extendable suction surface for bracing medial devices during robotically assisted medical procedures
US7942868B2 (en) 2006-06-13 2011-05-17 Intuitive Surgical Operations, Inc. Surgical instrument with parallel motion mechanism
JP4755047B2 (ja) 2006-08-08 2011-08-24 テルモ株式会社 作業機構及びマニピュレータ
US9089256B2 (en) * 2008-06-27 2015-07-28 Intuitive Surgical Operations, Inc. Medical robotic system providing an auxiliary view including range of motion limitations for articulatable instruments extending out of a distal end of an entry guide
CN201135461Y (zh) 2007-08-07 2008-10-22 机械科学研究总院先进制造技术研究中心 基于内窥镜的微创手术机器人
WO2009126955A2 (fr) * 2008-04-11 2009-10-15 The Regents Of The University Of Michigan Outil d’accès minimal
CA2776320C (fr) 2008-10-07 2017-08-29 The Trustees Of Columbia University In The City Of New York Systemes, dispositifs et procedes de fourniture de plate-formes robotiques sensorielles et de manipulation inserables pour la chirurgie par trocart unique
KR101075363B1 (ko) * 2008-10-31 2011-10-19 정창욱 최소 침습 수술 도구를 포함하는 수술용 로봇 시스템
BRPI1007339A2 (pt) * 2009-01-16 2017-07-25 Univ Texas Dispositivos médicos e métodos
US9903437B2 (en) * 2009-04-27 2018-02-27 Bridgestone Corporation Vibration absorption device
US8784404B2 (en) 2009-06-29 2014-07-22 Carefusion 2200, Inc. Flexible wrist-type element and methods of manufacture and use thereof
US8918211B2 (en) 2010-02-12 2014-12-23 Intuitive Surgical Operations, Inc. Medical robotic system providing sensory feedback indicating a difference between a commanded state and a preferred pose of an articulated instrument
HU229773B1 (hu) * 2009-09-02 2014-06-30 Eszköz sebészeti beavatkozáshoz
US8291788B2 (en) 2009-09-22 2012-10-23 GM Global Technology Operations LLC Rotary series elastic actuator
US8551078B2 (en) 2009-12-04 2013-10-08 Covidien Lp Laparoscopic scaffold assembly
US20110196407A1 (en) * 2010-02-05 2011-08-11 Benmaamer Moutaa Multiple function surgical instrument
CN101791247B (zh) 2010-04-01 2012-04-11 天津大学 微创外科手术用多自由度手术工具
IT1399603B1 (it) * 2010-04-26 2013-04-26 Scuola Superiore Di Studi Universitari E Di Perfez Apparato robotico per interventi di chirurgia minimamente invasiva
CN101999938B (zh) * 2010-10-15 2012-07-18 上海交通大学 用于骨科手术辅助机器人的手动操纵装置
US8739404B2 (en) * 2010-11-23 2014-06-03 General Electric Company Turbine components with cooling features and methods of manufacturing the same
CN201968771U (zh) 2011-01-31 2011-09-14 杭州康基医疗器械有限公司 双向可弯形圆头抓钳
MX2013011564A (es) * 2011-04-06 2014-04-30 Medrobotics Corp Herramientas quirurgicas de articulacion y vainas de herramientas, metodos para desplegar las mismas.
CN102274077A (zh) 2011-05-09 2011-12-14 无锡佑仁科技有限公司 微创血管介入手术机器人
JP2014519873A (ja) * 2011-05-12 2014-08-21 インペリアル・イノベイションズ・リミテッド デバイス
CN102499759B (zh) * 2011-10-31 2013-11-20 上海交通大学 多自由度单创孔腹腔微创手术机器人灵巧手
US9131987B2 (en) 2011-12-02 2015-09-15 Ethicon Endo-Surgery, Inc. Elbow assembly for surgical devices
KR101150350B1 (ko) * 2011-12-26 2012-06-08 윤치순 삼차원 내시경 수술장치
US9149178B2 (en) * 2012-03-26 2015-10-06 Covidien Lp Surgical access assembly and method of use therefor
KR101941569B1 (ko) * 2012-03-30 2019-04-15 삼성전자주식회사 가변 유연관 및 이를 갖춘 매니퓰레이터
US9789613B2 (en) * 2012-04-26 2017-10-17 Bio-Medical Engineering (HK) Limited Magnetic-anchored robotic system
KR20130132109A (ko) * 2012-05-25 2013-12-04 삼성전자주식회사 서포터 장치 및 이를 채용한 수술 로봇 시스템
CN202637006U (zh) 2012-05-28 2013-01-02 吕伟民 一种提供进入体腔的入路装置
US9408606B2 (en) 2012-06-28 2016-08-09 Ethicon Endo-Surgery, Llc Robotically powered surgical device with manually-actuatable reversing system
US20140051934A1 (en) * 2012-08-16 2014-02-20 Covidien Lp Stabilizing Port for Surgery for Facilitating Concurrent Introduction of Multiple Instruments
KR102193250B1 (ko) * 2012-09-14 2020-12-23 신세스 게엠바하 보호 슬리브를 구비한 다중구멍 드릴 슬리브
WO2014046618A1 (fr) 2012-09-19 2014-03-27 Nanyang Technological University Système d'endoscopie robotisé maître-esclave souple
KR102038632B1 (ko) * 2012-11-06 2019-10-30 삼성전자주식회사 수술용 인스트루먼트, 서포터 장치, 및 수술 로봇 시스템
KR20140112601A (ko) * 2013-03-11 2014-09-24 삼성전자주식회사 내시경 수술기구
KR102046373B1 (ko) * 2013-03-11 2019-11-20 삼성전자주식회사 와이어 감속기를 구비하는 복강경 수술기구
CN105025978B (zh) * 2013-03-15 2019-12-31 直观外科手术操作公司 旋转辅助端口
US10966700B2 (en) 2013-07-17 2021-04-06 Virtual Incision Corporation Robotic surgical devices, systems and related methods
US20160174814A1 (en) * 2013-08-31 2016-06-23 Morena Medical Applications Ltd. Endoscope with shared working channel
WO2015029040A1 (fr) * 2013-08-31 2015-03-05 Morena Medical Applications Ltd. Endoscope ayant un canal de travail partagé
CN103431913B (zh) 2013-09-12 2015-04-29 哈尔滨工业大学 微创外科机器人手术微器械
US10500008B2 (en) 2014-04-22 2019-12-10 Bio-Medical Engineering (HK) Limited Surgical arm system with internally driven gear assemblies
US10555785B2 (en) 2014-04-22 2020-02-11 Bio-Medical Engineering (HK) Limited Surgical arm system with internally driven gear assemblies
US11090123B2 (en) 2014-04-22 2021-08-17 Bio-Medical Engineering (HK) Limited Robotic devices and systems for performing single incision procedures and natural orifice translumenal endoscopic surgical procedures, and methods of configuring robotic devices and systems
US9895200B2 (en) 2014-04-22 2018-02-20 Bio-Medical Engineering (HK) Limited Robotic devices and systems for performing single incision procedures and natural orifice translumenal endoscopic surgical procedures, and methods of configuring robotic devices and systems
EP3134006B1 (fr) 2014-04-22 2020-02-12 Bio-Medical Engineering (HK) Limited Dispositifs et systèmes robotiques chirurgicaux d'accès unique
CN104224324A (zh) 2014-09-28 2014-12-24 广西壮族自治区人民医院 一种经自然腔道内镜手术用的机器人手术平台
GB2531994B (en) 2014-10-15 2020-06-24 Cmr Surgical Ltd Surgical articulation
CA2967593C (fr) 2014-11-11 2024-02-27 Board Of Regents Of The University Of Nebraska Dispositif robotise a modele d'articulation compacte, ainsi que systemes et procedes associes
SG10201903441UA (en) 2015-04-22 2019-05-30 Bio Medical Eng Hk Ltd Robotic devices and systems for performing single incision procedures and natural orifice translumenal endoscopic surgical procedures, and methods of configuring robotic devices and systems
WO2016169361A1 (fr) 2015-04-22 2016-10-27 Bio-Medical Engineering (HK) Limited Dispositifs et systèmes robotisés permettant de mettre en oeuvre des procédures d'incision unique et des procédures de chirurgie endoscopique transluminale par orifice naturel, et procédés de configuration des dispositifs et des systèmes robotisés
GB201512966D0 (en) 2015-07-22 2015-09-02 Cambridge Medical Robotics Ltd Drive arrangements for robot arms
US11109926B2 (en) 2016-02-16 2021-09-07 Covidien Lp Robotic surgical assemblies and surgical instrument holders thereof
CN105583819B (zh) 2016-03-15 2017-06-30 三峡大学 一种具备抓取功能的码垛机器人
CA3024623A1 (fr) 2016-05-18 2017-11-23 Virtual Incision Corporation Dispositifs chirurgicaux robotiques, systemes et procedes associes
CN109890580B (zh) 2016-08-30 2022-06-28 内布拉斯加大学董事会 具有紧凑型关节设计和附加自由度的机器人装置及相关系统和方法
CN106562806B (zh) 2016-08-31 2018-10-26 北京术锐技术有限公司 一种采用结构骨的柔性手术工具系统
CN109567902B (zh) 2016-11-01 2022-04-08 香港生物医学工程有限公司 用于执行微创和经自然腔道内镜外科动作的外科机器人装置和系统
CN109567943B (zh) 2016-11-01 2023-01-10 香港生物医学工程有限公司 用于执行体内外科手术的外科系统
CN109893179B (zh) 2016-11-01 2022-11-04 香港生物医学工程有限公司 用于执行经自然腔道内窥镜手术的外科系统
WO2018082294A1 (fr) 2016-11-01 2018-05-11 Bio-Medical Engineering (HK) Limited Dispositifs et systèmes robotisés permettant de mettre en oeuvre des procédures d'incision unique et des procédures de chirurgie endoscopique transluminale par orifice naturel, et procédés de configuration des dispositifs et des systèmes robotisés
CN107485415A (zh) 2016-11-01 2017-12-19 香港生物医学工程有限公司 用于执行经自然腔道内窥镜手术的外科系统
WO2018209518A1 (fr) 2017-05-15 2018-11-22 Bio-Medical Engineering (HK) Limited Systèmes, dispositifs et procédés pour effectuer des actions chirurgicales par l'intermédiaire d'ensembles d'entraînement entraînés extérieurement
CN107961078B (zh) 2017-12-18 2019-12-24 微创（上海）医疗机器人有限公司 手术机器人系统及其手术器械
US11045270B2 (en) 2017-12-19 2021-06-29 Cilag Gmbh International Robotic attachment comprising exterior drive actuator
CN110478043B (zh) 2019-06-28 2020-10-02 香港生物医学工程有限公司 具有在内部驱动的齿轮组件的外科臂系统
CN110547876B (zh) 2019-06-28 2020-10-09 香港生物医学工程有限公司 具有在内部驱动的齿轮组件的外科臂系统

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
None *

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP4265216A1 (fr) * 2022-04-21 2023-10-25 Microsure B.V. Bras de robot destiné à être utilisé en chirurgie, microchirurgie ou super-microchirurgie
WO2023202960A1 (fr) * 2022-04-21 2023-10-26 Microsure B.V. Bras de robot destiné à être utilisé en chirurgie, en microchirurgie ou en super-microchirurgie

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EP3134006A1 (fr) 2017-03-01
CN108836480B (zh) 2022-05-13
US11154183B2 (en) 2021-10-26
US20190000573A1 (en) 2019-01-03
US20170128143A1 (en) 2017-05-11
HK1219402A1 (zh) 2017-04-07
CN105358072B (zh) 2018-11-09
US10674895B2 (en) 2020-06-09
US20150297299A1 (en) 2015-10-22
EP3134006A4 (fr) 2018-02-21
US20220022734A1 (en) 2022-01-27
WO2015161677A1 (fr) 2015-10-29
US9999474B2 (en) 2018-06-19

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